Mackenzie P Purdy, MD

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

2019034657 Issued in MO

Practice address

347 N Lindbergh Blvd
Creve Coeur, MO 63141-7811

Phone

(314) 266-2062

NPI assigned

Apr 27, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

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

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

• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)
• Vios Fertility Institute St. Louis, LLC

  • Reproductive Endocrinology Physician
  • Creve Coeur, MO
  • NPI 1023473279

  Reproductive Endocrinology

  NPD (past)
• Peach State Medical Practice, PC

  • Reproductive Endocrinology Physician
  • North Bethesda, MD
  • NPI 1962116806

  Obstetrics & Gynecology

  NPD (past)
• Reena Jabamoni MDSC

  • Gynecology Physician
  • Hoffman Estates, IL
  • NPI 1649451394
  NPD (past)
• Vios Fertility Institute Chicago

  • Reproductive Endocrinology Physician
  • Chicago, IL
  • NPI 1982059275

  Reproductive Endocrinology

  NPD (past)

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1194083006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S DESPLAINES ST STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606615514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 N LINDBERGH BLVD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417811",
            "telephone_number": "314-266-2062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2172 Blackberry Dr Ste 204",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "IL",
            "postal_code": "601341106",
            "country_code": "US",
            "telephone_number": "815-725-4341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26400 W 12 Mile Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480341753",
            "country_code": "US",
            "telephone_number": "248-780-2070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1585 N Barrington Rd Ste 401",
            "address_purpose": "LOCATION",
            "city": "Hoffman Estates",
            "state": "IL",
            "postal_code": "601695020",
            "country_code": "US",
            "telephone_number": "847-843-7090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 Compass Rd Ste 135",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600268068",
            "country_code": "US",
            "telephone_number": "224-404-2042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2246 Weber Rd",
            "address_purpose": "LOCATION",
            "city": "Crest Hill",
            "state": "IL",
            "postal_code": "604030928",
            "country_code": "US",
            "telephone_number": "815-725-4161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 S Desplaines St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606615514",
            "country_code": "US",
            "telephone_number": "773-435-9029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Bronze Pointe S",
            "address_purpose": "LOCATION",
            "city": "Swansea",
            "state": "IL",
            "postal_code": "622268307",
            "country_code": "US",
            "telephone_number": "314-266-2062",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2203 S Promenade Blvd Ste 5185",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727588722",
            "country_code": "US",
            "telephone_number": "479-480-7200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1455 N Milwaukee Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606222015",
            "country_code": "US",
            "telephone_number": "773-435-9036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PURDY",
        "first_name": "MACKENZIE",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-27",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "AR",
            "license": "E-16089",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "MO",
            "license": "2019034657",
            "primary": true
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "MI",
            "license": "4301509531",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "IL",
            "license": "036.150496",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Psych TMS St. Louis, LLC
• Prevention First LLC
• Private MD, LLC
• Geraldine Prophete, PA
• Debora Pullin, LPC
• Mabel Louise Purkerson, M.D.
• Elizabeth Pytlinski, PHARM.D.
• Nancy B. Quigley, CPNP
• Dennis J Quinlan, RPH
• Margaret Victoria Quiring, MSW

• All providers in Creve Coeur, MO
• Reproductive Endocrinology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.