Basic Information
Provider Information
NPI: 1336437581
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PERRINE
FirstName: DONALD
MiddleName: C
NamePrefix:  
NameSuffix: III
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1493 S HAWKINS AVE
Address2:  
City: AKRON
State: OH
PostalCode: 443203416
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1493 S HAWKINS AVE
Address2:  
City: AKRON
State: OH
PostalCode: 443203416
CountryCode: US
TelephoneNumber: 3308655333
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/20/2011
LastUpdateDate: 06/18/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207LP2900X35.135642OHY193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
207LP2900X01077528AINN Allopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
207LP2900X036138225ILN Allopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine

No ID Information.


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