Active NPI
Matthew Scott Purdom, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Lexington, KY
National Provider Identifier
1275797052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 42207
- Practice address
- 800 Rose St Dept of
Lexington, KY 40536-0298 - Phone
- (859) 323-5425
- NPI assigned
- Jul 11, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | 42207 | KY | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 42207 | KY | Primary |
Addresses
Primary practice location
800 Rose St Dept of
Lexington, KY 40536-0298
Mailing address
800 Rose St Dept of
Lexington, KY 40536-0298
Phone (859) 323-5425
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42207 | KY | MD | Cytopathology Physician |
Interoperability endpoints
- mpurdom20423@ukhcdirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560384000000",
"number": "1275797052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 ROSE ST DEPT OF",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405360298",
"telephone_number": "859-323-5425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 ROSE ST DEPT OF",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405360298",
"telephone_number": "859-323-5425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURDOM",
"first_name": "MATTHEW",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-11",
"last_updated": "2019-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "KY",
"license": "42207",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "KY",
"license": "42207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.