Keith Allen Perrine


Address: 5250 Far Hills Ave, Suite 110, Dayton, OH 45429-2353

Keith Allen Perrine (NPI# 1720198112, PAC ID# 1254312010) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.

Physician Overview

Nation Provider ID (NPI) 1720198112
PAC ID by PECOS 1254312010
Professional Enrollment ID I20110304000003
Full Name Keith Allen Perrine
Address 5250 Far Hills Ave
Suite 110
Dayton
OH 45429-2353
Gender M
Credential MD
Medical School OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year 1984
Primary Specialty PLASTIC AND RECONSTRUCTIVE SURGERY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
360051 MIAMI VALLEY HOSPITAL

Other Locations

Address Phone Organization
5250 Far Hills Ave, Suite 110, Dayton, OH 45429-2353

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Office Location

Street Address 5250 FAR HILLS AVE
SUITE 110
City DAYTON
State OH
Zip 45429-2353

Physicians in the same location

Name Specialty Organization Address
Marshall C Wareham Ophthalmology 5250 Far Hills Ave, Suite 207, Dayton, OH 45429-2382
Stephen A Weeber Podiatry 5250 Far Hills Ave, Suite 220, Kettering, OH 45429-2353
Chacko Jose Alappatt Rheumatology 5250 Far Hills Ave, Suite 250, Kettering, OH 45429-2353
Kurt A Fleagle Internal Medicine 5250 Far Hills Ave, Suite 210, Dayton, OH 45429-2353
Nancy Liu Internal Medicine 5250 Far Hills Ave, Suite 250, Kettering, OH 45429-2353
Thomas R Connon Optometry Allied Eye Physicians and Surgeons Inc 5250 Far Hills Ave, Suite 207, Dayton, OH 45429-2382

Physicians in the same zip code

Name Specialty Organization Address
Sylvia Polenakovik Internal Medicine Alliance Physicians Inc 3535 Southern Blvd, Kettering, OH 45429-1221
Swathi Datla Family Medicine Alliance Physicians Inc 3535 Southern Blvd, Kettering, OH 45429-1221
Timberly De Ann Harvey Certified Registered Nurse Anesthetist (crna) Kettering Anesthesia Associates, Inc 3535 Southern Blvd, Kettering, OH 45429-1221
Julia Anne Balandiat Physician Assistant Alliance Physicians Inc 3535 Southern Blvd, Kettering, OH 45429-1221
Nicole K Hammock Nurse Practitioner South Dayton Acute Care Consultants, Inc 3535 Southern Blvd, Dayton, OH 45429-1221
David B Jackson Emergency Medicine Emergency Medicine Specialists Inc 3535 Southern Blvd, Kettering, OH 45429-1221
Michael Kelley Physician Assistant Alliance Physicians Inc 3535 Southern Blvd, Kettering, OH 45429-1221
Daniel Lucian Butnariu Critical Care (intensivists) South Dayton Acute Care Consultants, Inc 3535 Southern Blvd, Dayton, OH 45429-1221
Michael David Johnson General Surgery Alliance Physicians Inc 3535 Southern Blvd, Kettering, OH 45429-1221
Michael Benjamin Gentry Pathology Kettering Pathology Associates Inc 3535 Southern Blvd, Kettering, OH 45429-1221
Find all physicians in zip 45429

Competitor

Search similar physicians

City DAYTON
Zip Code 45429
Specialty PLASTIC AND RECONSTRUCTIVE SURGERY
City + Specialty DAYTON + PLASTIC AND RECONSTRUCTIVE SURGERY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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