Keith Perrine, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

35.051583 Issued in OH

Practice address

5250 Far Hills Ave
110
Dayton, OH 45429-2382

Phone

(937) 432-9810

Fax

(937) 432-9815

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Preferred Plastic Surgery & Skin Care Center LLC

  • Plastic and Reconstructive Surgery Physician
  • Dayton, OH
  • NPI 1639422108
  Medicare reassignment NPD Authorized official
• Dermatologists of Southwestern Ohio, LLC.

  • Dermatology Physician
  • Dayton, OH
  • NPI 1801819883
  NPD (past)
• Miami Valley Plastic Surgeons, Inc.

  • Plastic and Reconstructive Surgery Physician
  • Dayton, OH
  • NPI 1093837569
  NPD (past)
• Leavitt Medical Associates of Florida Inc

  • Dermatology Physician
  • Sebastian, FL
  • NPI 1083872535

  Plastic Surgery

  NPD (past)
• Leavitt Medical Associates of Florida Inc

  • Dermatology Physician
  • Heathrow, FL
  • NPI 1528097284

  Plastic Surgery

  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1720198112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 FAR HILLS AVE",
            "address_2": "110",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292382",
            "telephone_number": "937-432-9810",
            "fax_number": "937-432-9815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 FAR HILLS AVE",
            "address_2": "110",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292382",
            "telephone_number": "937-432-9810",
            "fax_number": "937-432-9815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRINE",
        "first_name": "KEITH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME84583",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "OH",
            "license": "35.051583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263826600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Perkins
• Tiairia Perkins
• Erica Pernell-Lawrence
• Joshua David Perrin, MD
• Danny L Perrine, CDCA
• Danielle Marie Perry-Reese, RN
• Aaron Kristopher Perry, PA
• Heather Perry, PTA
• Jama Perry
• James Roland Perry

• Plastic Surgery Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Plastic Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.