Individual provider Active NPI

Gary Thomas Purcell, M.D.

  • Orthopaedic Surgery Physician
  • Mesa, AZ
National Provider Identifier
1215917463
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
26179 Issued in AZ
Practice address
4566 E Inverness Ave
Suite 202
Mesa, AZ 85206-4633
Phone
(480) 635-0070
Fax
(480) 635-0090
NPI assigned
Jan 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 26179 AZ Primary

Addresses

Primary practice location

4566 E Inverness Ave
Suite 202
Mesa, AZ 85206-4633

Mailing address

4566 E Inverness Ave
Suite 202
Mesa, AZ 85206-4633
Phone (480) 635-0070

Other practice location 1

3941 E Baseline Rd Ste 102
Gilbert, AZ 85234-2750
Phone (480) 969-3531

Other identifiers 1

IdentifierTypeStateIssuer
422105MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20091215000090 AZ Practitioner - Orthopedic Surgery 9032193594 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SGL Holdings LLCGroup PAC ID 3779862040, 3 clinicians

Practice addresses (Care Compare)

3941 E Baseline Rd
Suite 102
Gilbert, AZ 85234-2750
Phone (480) 969-3531

Hospital & facility affiliations

  • Mercy Gilbert Medical Center Hospital, Gilbert, AZ, CCN 030119
  • Dignity Health Arizona General Hospital Hospital, Mesa, AZ, CCN 030139

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SGL Holdings LLC Orthopaedic Surgery CurrentSince May 1, 2020 Accepting new patients
Stephen E. Hatfield, DO LLC Orthopaedic Surgery CurrentSince May 1, 2012 Accepting new patients
Arizona Spine and Joint Hospital LLC Current Accepting new patients
SGL Holdings LLC Orthopaedic Surgery CurrentSince May 1, 2020 Accepting new patients
E Valley Ortho Sports Med PC Orthopaedic Surgery PastSince Jun 14, 2004 Accepting new patients

Locations

3941 E Baseline Rd
Ste 102
Gilbert, AZ 85234
Phone (480) 969-3531

4850 E Baseline Rd
Ste 118
Mesa, AZ 85206
Phone (480) 461-0047

Interoperability endpoints

  • Direct secure messaging: gpurcell@direct.uspi.com
  • Direct secure messaging: garypurcell@asjh.medalliesdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 10

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": "1137801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1215917463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4566 E INVERNESS AVE",
            "address_2": "SUITE 202",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064633",
            "telephone_number": "480-635-0070",
            "fax_number": "480-635-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4566 E INVERNESS AVE",
            "address_2": "SUITE 202",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064633",
            "telephone_number": "480-635-0070",
            "fax_number": "480-635-0090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3941 E Baseline Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852342750",
            "country_code": "US",
            "telephone_number": "480-969-3531",
            "fax_number": "866-764-4599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PURCELL",
        "first_name": "GARY",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-21",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "26179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "422105",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.