Shanta A Purcell, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D34051 Issued in MD

Practice address

2700 Remington Ave Ste 2000
Baltimore, MD 21211

Phone

(667) 312-2400

NPI assigned

Dec 11, 2006

Last updated

Jun 5, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Johns Hopkins Community Physicians, Inc

  dba JHCP - 195 Thomas Johnson Drive

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1770518003
  NPD (past)
• Johns Hopkins Community Physicians, Inc.

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1467639260
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1194885202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9910 FRANKLIN SQUARE DR # 2110",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212364902",
            "telephone_number": "410-933-5412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 REMINGTON AVE STE 2000",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21211",
            "telephone_number": "667-312-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 Wyman Park Drive",
            "address_2": "Suite 359A",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "21211",
            "country_code": "US",
            "telephone_number": "410-338-3016",
            "fax_number": "410-338-3420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PURCELL",
        "first_name": "SHANTA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D34051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "439781900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcos Pupkin, MD
• Rachael Nicole Purcel, AUD
• Ann Purcell, CPNP
• Madeleine G Purcell, MD
• Shannon Marie Purcell
• Eunyah Jacqueline Purdie
• Alicia Shenreice Purdum
• Emily Susanne Purdy, PA-C
• Pure Healthcare Solutions, Corp.
• Pure Potential Unlimited

• Internal Medicine Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.