Provider Demographics
NPI:1437159308
Name:PERKINS, PATRICK JOSEPH (MD)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:JOSEPH
Last Name:PERKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 219672
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64121-9672
Mailing Address - Country:US
Mailing Address - Phone:816-407-4200
Mailing Address - Fax:816-407-2362
Practice Address - Street 1:1004 CARONDELET DR
Practice Address - Street 2:SUITE 410
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-4801
Practice Address - Country:US
Practice Address - Phone:816-389-6100
Practice Address - Fax:816-389-6150
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2020-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-32394207RP1001X
MOMD111691207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO38261052OtherBCBS
MO207016106Medicaid
MO1437159308Medicaid
KS200429870CMedicaid
MO38261032OtherBCBS OF KC
470F348BOtherKANSAS MEDICARE NUMBER
MO38261032OtherBCBS OF KC
MOMA1922006Medicare PIN
MO1437159308Medicaid