Healthcare Provider Details

I. General information

NPI: 1649742834
Provider Name (Legal Business Name): THOMAS R PERKINS DO PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2018
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1349 S ROCHESTER RD STE 205
ROCHESTER HILLS MI
48307-3152
US

IV. Provider business mailing address

1349 S ROCHESTER RD STE 205
ROCHESTER HILLS MI
48307-3152
US

V. Phone/Fax

Practice location:
  • Phone: 248-239-5300
  • Fax: 248-239-5305
Mailing address:
  • Phone: 248-239-5300
  • Fax: 248-239-5305

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: STACEY WILSON
Title or Position: MEDICAL BILLER/MANAGER
Credential:
Phone: 248-239-5300