Active NPI
Patrick Joseph Purves, PA
- Physician Assistant
- Phoenix, AZ
National Provider Identifier
1083216873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 8328
- Practice address
- 5056 N Central Ave
Phoenix, AZ 85012-1521 - Phone
- (602) 222-9111
- NPI assigned
- Nov 16, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 8328 | AZ | Primary |
Addresses
Primary practice location
5056 N Central Ave
Phoenix, AZ 85012-1521
Mailing address
5056 N Central Ave
Phoenix, AZ 85012-1521
Phone (602) 222-9111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5056 N Central Ave
Phoenix, AZ 85012-1521
Phone (602) 222-9111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Squaw Peak Anesthesia Inc | Single Specialty | Past | Accepting new patients |
Interoperability endpoints
- ppurves@directaddress.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dermatology Physician
- Phoenix, AZ
- NPI 1609078997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684886400000",
"number": "1083216873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5056 N CENTRAL AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850121521",
"telephone_number": "602-222-9111",
"fax_number": "602-222-9333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5056 N CENTRAL AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850121521",
"telephone_number": "602-222-9111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURVES",
"first_name": "PATRICK",
"middle_name": "JOSEPH",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-16",
"last_updated": "2023-05-24",
"certification_date": "2023-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "AZ",
"license": "8328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.