Organization Active NPI

Thomas a Perkowski DO LTD

  • Ophthalmology Physician
  • Dover, OH
National Provider Identifier
1720180961
Registry record updated Dec 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
34.007172 Issued in OH
Legal business name
THOMAS A PERKOWSKI DO LTD
Practice address
658 Boulevard St
Dover, OH 44622-2027
Phone
(330) 343-3213
Fax
(330) 364-2729
NPI assigned
Sep 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Thomas A Perkowski, DONPI 1912962465
Title
Member
Phone
(330) 343-3213

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 34.007172 OH Primary

Addresses

Primary practice location

658 Boulevard St
Dover, OH 44622-2027

Mailing address

658 Boulevard St
Dover, OH 44622-2027
Phone (330) 343-3213

Other identifiers 1

IdentifierTypeStateIssuer
DE4442OtherOHTRAVELERS MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051208000861 OH Part B Supplier - Clinic/Group Practice 4688695356 Receives reassigned benefits from 1 practitioner
Practice locations: Dover, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386547200000",
    "number": "1720180961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 BOULEVARD ST",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222027",
            "telephone_number": "330-343-3213",
            "fax_number": "330-364-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 BOULEVARD ST",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222027",
            "telephone_number": "330-343-3213",
            "fax_number": "330-364-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS A PERKOWSKI DO LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2013-12-09",
        "status": "A",
        "authorized_official_last_name": "PERKOWSKI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "330-343-3213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "34.007172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "DE4442",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.