Provider Demographics
NPI:1609973627
Name:PERKINS, JASON FRANK (DO)
Entity Type:Individual
Prefix:MR
First Name:JASON
Middle Name:FRANK
Last Name:PERKINS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1430
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22803-1430
Mailing Address - Country:US
Mailing Address - Phone:540-713-4100
Mailing Address - Fax:844-305-8671
Practice Address - Street 1:13737 SPOTSWOOD TRL
Practice Address - Street 2:
Practice Address - City:ELKTON
Practice Address - State:VA
Practice Address - Zip Code:22827-3200
Practice Address - Country:US
Practice Address - Phone:540-713-4100
Practice Address - Fax:757-578-8587
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC200400731207Q00000X
WV1950207Q00000X
VA0102202739207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1609973627Medicaid
VA1609973627Medicare PIN
VA1609973627Medicaid
NC5900896Medicaid