Individual provider Active NPI

Thomas O. Perkins, P.A.

  • Physician Assistant
  • Corpus Christi, TX
National Provider Identifier
1821026212
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA02412 Issued in TX
Practice address
5718 Spohn Dr
Suite 100
Corpus Christi, TX 78414-4116
Phone
(361) 980-0808
Fax
(361) 653-7041
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA02412 TX Primary

Addresses

Primary practice location

5718 Spohn Dr
Suite 100
Corpus Christi, TX 78414-4116

Mailing address

5718 Spohn Dr
Suite 100
Corpus Christi, TX 78414-4116
Phone (361) 980-0808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060228000064 TX Practitioner - Physician Assistant 5395751416 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA02412TXMDPhysician Assistant

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821026212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5718 SPOHN DR",
            "address_2": "SUITE 100",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144116",
            "telephone_number": "361-980-0808",
            "fax_number": "361-653-7041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5718 SPOHN DR",
            "address_2": "SUITE 100",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144116",
            "telephone_number": "361-980-0808",
            "fax_number": "361-653-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "THOMAS",
        "middle_name": "O.",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.