Provider Demographics
NPI:1912057449
Name:PERKINS, ROBERT H (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:H
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 1:3555 OLENTANGY RIVER RD
Mailing Address - Street 2:STE 1010
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-3901
Mailing Address - Country:US
Mailing Address - Phone:614-566-4907
Mailing Address - Fax:614-267-3323
Practice Address - Street 1:3555 OLENTANGY RIVER RD
Practice Address - Street 2:SUITE 1010
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-3912
Practice Address - Country:US
Practice Address - Phone:614-566-4907
Practice Address - Fax:614-267-3323
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2019-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35071151P208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000224092OtherANTHEM
OH2100872Medicaid
OH4056904Medicare PIN
OH000000224092OtherANTHEM
OH2100872Medicaid
OH4040737Medicare PIN
OH4056908Medicare PIN
OH4040736Medicare PIN
OH4040733Medicare PIN
OH4040732Medicare PIN
OH4056903Medicare PIN