Active NPI
Beth A Purdy, MD
- Orthopaedic Surgery Physician
- Phoenix, AZ
National Provider Identifier
1295712958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 25389
- Practice address
- 300 Wclarendon Ave
Ste 250
Phoenix, AZ 85013 - Phone
- (602) 279-4263
- Fax
- (866) 389-8052
- NPI assigned
- Dec 23, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 25389 | AZ | Primary |
Addresses
Primary practice location
300 Wclarendon Ave
Ste 250
Phoenix, AZ 85013
Mailing address
300 W Clarendon Ave
Ste 250
Phoenix, AZ 85013-3477
Phone (602) 279-4263
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 433673 | Medicaid | AZ |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579046400000",
"number": "1295712958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W CLARENDON AVE",
"address_2": "STE 250",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850133477",
"telephone_number": "602-279-4263",
"fax_number": "866-389-8052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 WCLARENDON AVE",
"address_2": "STE 250",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85013",
"telephone_number": "602-279-4263",
"fax_number": "866-389-8052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURDY",
"first_name": "BETH",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-23",
"last_updated": "2020-01-15",
"certification_date": "2020-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "AZ",
"license": "25389",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "433673",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.