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HEART GROUP OF THE EASTERN SHORE P.C. NPI 1609095157


NPI Information

NPI: 1609095157
Provider Name: HEART GROUP OF THE EASTERN SHORE, P.C.

Former Legal Business Name: MICHAEL S. PURLSEY MD PC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 01D0964997

Address:
150 S. INGLESIDE STREET
#4 MEDICAL PARK
FAIRHOPE, AL
ZIP 36532
Phone: (251) 990-1920
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HEART GROUP OF THE EASTERN SHORE, P.C. is a clinic center in Fairhope, AL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). HEART GROUP OF THE EASTERN SHORE, P.C. NPI is 1609095157. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Michael S. Purlsey Md Pc.

The provider's business location address is:

150 S. INGLESIDE STREET
#4 MEDICAL PARK
FAIRHOPE, AL
ZIP 36532-804
Phone: (251) 990-1920
Fax: (251) 990-1921

The provider's authorized official is Michael S Pursley .
The authorized official title is President/owner and has the following contact phone number (251) 990-1920.

The CLIA number assigned to this NPI record is 01D0964997 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 12/9/2013.


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
1174400000XSpecialist25610ALABAMANo
2261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11467430777OTHERALABAMANPI
2529927690OTHERALABAMAGRP MEDICAID
3009936434MEDICAIDALABAMA
4051557407MEDICARE PINALABAMA
51609095157OTHERALABAMAGRP NPI
651503479OTHERALABAMABC/MC
751541652OTHERALABAMAMEDICARE BRAND
8P00082012OTHERALABAMARR MEDICARE
951541652MEDICARE PINALABAMA
10K814MEDICARE UPINALABAMA
11051554382MEDICAIDALABAMA
12H22338MEDICARE UPINALABAMA
13009936467MEDICAIDALABAMA
1405538519MEDICAIDMISSISSIPPI
151689678674OTHERALABAMABRAND NPI
16DE4413OTHERALABAMARR MEDICARE FOR GROUP
17K814OTHERALABAMAMEDICARE GRP
18H55147MEDICARE UPINALABAMA
19009936433MEDICAIDALABAMA
20009936436MEDICAIDALABAMA

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.