Provider Demographics
NPI:1356041909
Name:PERKINS, DANA (EDS, RSM, RPO)
Entity type:Individual
Prefix:MS
First Name:DANA
Middle Name:
Last Name:PERKINS
Suffix:
Gender:F
Credentials:EDS, RSM, RPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7050 WOODDUCK CT
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-5080
Mailing Address - Country:US
Mailing Address - Phone:740-669-6466
Mailing Address - Fax:
Practice Address - Street 1:7050 WOODDUCK CT
Practice Address - Street 2:
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-5080
Practice Address - Country:US
Practice Address - Phone:740-669-6466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-03
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No305S00000XManaged Care OrganizationsPoint of Service
No374K00000XNursing Service Related ProvidersReligious Nonmedical Practitioner
No171400000XOther Service ProvidersHealth & Wellness Coach
No174H00000XOther Service ProvidersHealth Educator
No177F00000XOther Service ProvidersLodging
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH305S00000XMedicaid
OH171400000XMedicaid
OH374K00000XMedicaid
OH171M00000XMedicaid
OH174H00000XMedicaid
OH177F00000XMedicaid