Clinton David Purvance, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

9054 Issued in NV

Practice address

155 Hwy 50
Ste 203
Stateline, NV 89449

Phone

(775) 589-8949

Fax

(775) 589-8979

NPI assigned

Jul 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cpurvance86755@direct.renown.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Barton Healthcare System

  • Occupational Medicine Clinic/Center
  • Stateline, NV
  • NPI 1700973591
  Authorized official Same address or phone
• Barton Healthcare System

  dba Barton Community Health Center

  • Rural Health Clinic/Center
  • South Lake Tahoe, CA
  • NPI 1053310326
  Authorized official Same address or phone
• Barton Healthcare System

  • Emergency Medicine Physician
  • South Lake Tahoe, CA
  • NPI 1306931357
  Authorized official Same address or phone
• Barton Medical Foundation

  • Family Medicine Physician
  • South Lake Tahoe, CA
  • NPI 1750950499
  NPD
• Washoe Barton Medical Clinic a Nevada Nonprofit Corporation

  dba Carson Valley Health

  • Critical Access Hospital
  • Gardnerville, NV
  • NPI 1396799102
  NPD (past)
• Washoe Barton Medical Clinic a Nevada Nonprofit Corporation

  dba Carson Valley Health

  • Internal Medicine Physician
  • Gardnerville, NV
  • NPI 1922153519
  NPD (past)
• Tahoe Emergency Physicians Medical Corporation

  • Emergency Medicine Physician
  • South Lake Tahoe, CA
  • NPI 1104937408
  NPD (past)

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405468800000",
    "number": "1124026349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 EMERALD BAY RD",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961506207",
            "telephone_number": "530-543-5659",
            "fax_number": "530-541-8723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 HWY 50",
            "address_2": "STE 203",
            "city": "STATELINE",
            "state": "NV",
            "postal_code": "89449",
            "telephone_number": "775-589-8949",
            "fax_number": "775-589-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURVANCE",
        "first_name": "CLINTON",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2014-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "9054",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A68981",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Payne, LMT, CMT, BCTMB
• Marni Perschnick
• Premise Health of Nevada Medical Hinitt P C (Caesars Lake Tahoe Health & Wellness Center)
• Premise Health of Nevada Medical Hinitt P C (Caesar's Lake Tahoe Health & Wellness Center)
• Tracy Regina Protell, M.D.
• Robert Edward Rupp, MD
• Sonia N Rupp, MD
• Martin Ernst Salm, M.D.
• State of Nevada (Lake Tahoe Mental Health Center)
• Steven L Kline OD a Professional Corporation (Alpine Eyecare Optometry)

• Emergency Medicine Physician in Stateline, NV
• Providers in Stateline, NV by specialty
• Emergency Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.