JACOB PERKINS DPM NPI 1831752955

NPI Information

NPI: 1831752955
Provider Name: JACOB PERKINS, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
2300 S 1ST ST
CHAMPAIGN, IL
ZIP 61820
Phone: (217) 383-9400
Get Directions

Jacob Perkins, DPM is a foot and ankle surgery podiatrist in Champaign, IL with 5 years of experience. Jacob Perkins, DPM NPI is 1831752955. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2019

The provider's business location address is:

2300 S 1ST ST
CHAMPAIGN, IL
ZIP 61820-661
Phone: (217) 383-9400
Fax: (217) 383-9694

The NPI 1831752955 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 4/15/2019 and was last updated on 2/28/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	016006027	ILLINOIS	Yes
2	207X00000X	Orthopaedic Surgery		36.004056	OHIO	No
3	390200000X	Student in an Organized Health Care Education/Training Program				No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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