Individual provider Active NPI

Seth Ta'Agamanusina Purcell, MD

  • Vascular Surgery Physician
  • Spring Hill, FL
National Provider Identifier
1144587841
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
ME153952 Issued in FL
Practice address
10441 Quality Dr Ste 205
Spring Hill, FL 34609-9652
Phone
(352) 770-8346
Fax
(727) 755-0926
NPI assigned
Apr 18, 2012
Last updated
Jun 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X R3188 TX
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X ME153952 FL Primary

Addresses

Primary practice location

10441 Quality Dr Ste 205
Spring Hill, FL 34609-9652

Mailing address

10441 Quality Dr Ste 205
Spring Hill, FL 34609-9652
Phone (801) 472-3563

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180102001745 TX Practitioner - General Surgery 0244512366 Reassigns benefits to 2 organizations
I20220411002675 FL Practitioner - Vascular Surgery 0244512366 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Loma Linda University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Heart and Vascular Center PAGroup PAC ID 0648288225, 11 clinicians

Practice addresses (Care Compare)

1470 N Florida Ave
Suite 110
Lakeland, FL 33805-3637
Phone (813) 788-1400

38035 Medical Ctr Ave
Zephyrhills, FL 33540-1384
Phone (813) 788-1400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal113
Leg revascularization (restoring blood flow)12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R3188TXMDSurgery Physician
ME153952FLMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC Single Specialty CurrentSince Feb 18, 2018 Accepting new patients
Tampa General Hospital Current Accepting new patients
Wesley Chapel Vascular LLC Single Specialty CurrentSince Jul 1, 2023 Accepting new patients
Premier Heart and Vascular Center, PA Single Specialty CurrentSince Jul 1, 2025 Accepting new patients
Lyle Breeding MD PLC Single Specialty CurrentSince Oct 1, 2024 Accepting new patients
Concord Medical Group of Texas PLLC Single Specialty CurrentSince Feb 18, 2018 Accepting new patients
PHVC Ekg LLC Single Specialty Past Accepting new patients

Locations

11373 Cortez Blvd
Ste 202
Brooksville, FL 34613
Phone (352) 597-3444

1470 N Florida Ave
Ste 110
Lakeland, FL 33805

10441 Quality Dr
Ste 205
Spring Hill, FL 34609
Phone (352) 666-4766

2477 Bruce B Downs Blvd
Wesley Chapel, FL 33544

2615 Windguard Cir
Ste 101
Wesley Chapel, FL 33544
Phone (727) 999-8346

38035 Medical Center Ave
Zephyrhills, FL 33540
Phone (813) 780-2674

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

5900 Altamesa Blvd
Ft Worth, TX 76132
Phone (817) 433-9100

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

701 McClintic Dr
Lake Limestone, TX 76642
Phone (254) 729-3281

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/ACBGAA
  • Direct secure messaging: spurcell296233@direct.tgh.org

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1144587841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10441 QUALITY DR STE 205",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346099652",
            "telephone_number": "801-472-3563",
            "fax_number": "727-755-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10441 QUALITY DR STE 205",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346099652",
            "telephone_number": "352-770-8346",
            "fax_number": "727-755-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURCELL",
        "first_name": "SETH",
        "middle_name": "TA'AGAMANUSINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-18",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "R3188",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME153952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.