Jonathan B Purdy DPM Apmc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

JONATHAN B PURDY DPM APMC

Practice address

200 S Lewis St
New Iberia, LA 70560-3916

Phone

(337) 256-8494

Fax

(855) 896-3338

NPI assigned

Oct 20, 2016

Organization subpart

No

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

Authorized official

Name

Jonathan B Purdy

Title

Owner

Phone

(337) 256-8494

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Jonathan B Purdy DPM Apmc

  dba The Foot Clinic

  • Foot & Ankle Surgery Podiatrist
  • New Iberia, LA
  • NPI 1528342045

  9032382965

  Same PAC ID

Tax ID family

Jonathan B Purdy DPM Apmc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jonathan B Purdy DPM Apmc

  dba The Foot Clinic

  • Foot & Ankle Surgery Podiatrist
  • New Iberia, LA
  • NPI 1528342045
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebecca Sayer, APRN

  • Adult Health Nurse Practitioner
  • New Iberia, LA
  • NPI 1750604625
  NPD (past)

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1154872422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 ANDRE ST",
            "address_2": "SUITE 202",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S LEWIS ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705603916",
            "telephone_number": "337-256-8494",
            "fax_number": "855-896-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN B PURDY DPM APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2022-07-21",
        "certification_date": "2020-06-23",
        "status": "A",
        "authorized_official_last_name": "PURDY",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-256-8494"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1464635",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danette Kelemen Johnson, APRN-CNP
• Lakeidra Johnson
• Maggie Johnson, M.S.
• Simone Johnson, LCSW
• Stacey Lebouef Johnson, PPS
• Jonathan B Purdy DPM Apmc (The Foot Clinic)
• Jonathan Stein, MD, Apmc
• Gabriella Nichole Jones Delay, FNP
• Crystal Jones-Olaleye, FUNCTIONAL NUTRITION
• Antrina Jones

• Foot & Ankle Surgery Podiatrist in New Iberia, LA
• Providers in New Iberia, LA by specialty
• Foot & Ankle Surgery Podiatrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.