Individual provider Active NPI

Sarah Elizabeth Pursifull, PA-C

  • Physician Assistant
  • Farmington Hills, MI
National Provider Identifier
1063847101
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601006778 Issued in MI
Practice address
30055 Northwestern Hwy Ste 240
Farmington Hills, MI 48334
Phone
(248) 865-4242
Fax
(248) 354-2779
NPI assigned
Sep 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601006778 MI Primary

Addresses

Primary practice location

30055 Northwestern Hwy Ste 240
Farmington Hills, MI 48334

Mailing address

30055 Northwestern Hwy Ste 240
Farmington Hills, MI 48334-3211
Phone (248) 865-4242

Other practice location 1

27423 Van Dyke Ave
Warren, MI 48093-2867
Phone (586) 757-4000

Other practice location 2

27423 Van Dyke Ave
Warren, MI 48093-2867
Phone (586) 757-4000

Other practice location 3

2000 Green Rd
Suite 300
Ann Arbor, MI 48105-1598
Phone (734) 686-6344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1063847101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30055 NORTHWESTERN HWY STE 240",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343211",
            "telephone_number": "248-865-4242",
            "fax_number": "248-354-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30055 NORTHWESTERN HWY STE 240",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "48334",
            "telephone_number": "248-865-4242",
            "fax_number": "248-354-2779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27423 Van Dyke Ave",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480932867",
            "country_code": "US",
            "telephone_number": "586-757-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27423 Van Dyke Ave",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480932867",
            "country_code": "US",
            "telephone_number": "586-757-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Green Rd",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481051598",
            "country_code": "US",
            "telephone_number": "734-686-6344",
            "fax_number": "734-686-6344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PURSIFULL",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-09",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.