Srinivasan S Purighalla

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

036111101 Issued in IL

Legal business name

SRINIVASAN S PURIGHALLA

Practice address

616 35TH Ave Ste 1
Moline, IL 61265-6158

Phone

(309) 517-3775

Fax

(309) 517-3625

NPI assigned

Jan 16, 2006

Organization subpart

No

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

Authorized official

Name

Srinivasan S Purighalla, MD

Title

President

Phone

(309) 517-3775

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE LLC Doing business as

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1124007265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 35TH AVE STE 1",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656158",
            "telephone_number": "309-517-3775",
            "fax_number": "309-517-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 35TH AVE STE 1",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656158",
            "telephone_number": "309-517-3775",
            "fax_number": "309-517-3625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRINIVASAN S PURIGHALLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-16",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "PURIGHALLA",
        "authorized_official_first_name": "SRINIVASAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-517-3775",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "036111101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DC0079",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036111101",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kenya Sorrell
• Southpark Chiropractic Wellness Center, LLC
• Southpark Psychology LTD
• Tracy C Sparkmam, PHARM D
• David M Spector, MD
• Jonathan Staab, DPT
• Terry Stambaugh, LCSW
• STCH Moline Opco LLC
• Christine Steffen, PHARMACIST
• Bruce C Steffens, MD

• Neurological Surgery Physician in Moline, IL
• Providers in Moline, IL by specialty
• Neurological Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; 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.