Provider Demographics
NPI:1578249157
Name:PERKINS SPINE AND SPORTS MEDICINE, LLC
Entity Type:Organization
Organization Name:PERKINS SPINE AND SPORTS MEDICINE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:PERKINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-975-1859
Mailing Address - Street 1:7269 SAWMILL RD STE 150
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-9613
Mailing Address - Country:US
Mailing Address - Phone:614-591-0020
Mailing Address - Fax:614-566-6855
Practice Address - Street 1:7269 SAWMILL RD STE 150
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-9613
Practice Address - Country:US
Practice Address - Phone:614-591-0020
Practice Address - Fax:614-566-6855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPainGroup - Multi-Specialty