Srinivasan S Purighalla

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

036111101 Issued in IL

Legal business name

SRINIVASAN S PURIGHALLA

Doing business as

Purighalla Neuroscience & Spine Institute LLC

Practice address

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

Phone

(309) 517-3775

Fax

(309) 517-3625

NPI assigned

Jan 16, 2006

Last updated

Apr 17, 2015By the provider in NPPES

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, MDNPI 1588643639

Title

President

Phone

(309) 517-3775

Specialties & licenses 1

Addresses

Other names 1

• PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Srinivasan S Purighalla, MD

  • Neurological Surgery Physician
  • Moline, IL
  • NPI 1588643639
  Authorized official Same address or phone

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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kenya Sorrell
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• 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.