DR. JERRY GAINES PURVIS M.D. NPI 1386655462

NPI Information

NPI: 1386655462
Provider Name: DR. JERRY GAINES PURVIS, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
5034 N WALNUT ST
SOUTH BLOOMFIELD, OH
ZIP 43103
Phone: (740) 983-8346
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DR. Jerry Gaines Purvis, M.D. is a specialist in South Bloomfield, OH. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Jerry Gaines Purvis, M.D. NPI is 1386655462. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5034 N WALNUT ST
SOUTH BLOOMFIELD, OH
ZIP 43103-018
Phone: (740) 983-8346
Fax: (740) 983-6600

The enumeration date for this NPI number is 8/11/2006 and was last updated on 1/19/2010.

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	174400000X	Specialist		35-08-0726-P	OHIO	Yes

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
1	4067174	MEDICARE ID-TYPE UNSPECIFIED	OHIO
2	2297232	MEDICAID	OHIO
3	G66633	MEDICARE UPIN	OHIO

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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