Active NPI
Valerie a Purvin MD PC
- Neurology Physician
- Indianapolis, IN
National Provider Identifier
1346358439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 01033011
- Legal business name
- VALERIE A PURVIN MD PC
- Practice address
- 201 Pennsylvania Parkway
Indianapolis, IN 46280-1381 - Phone
- (317) 817-1254
- Fax
- (317) 817-1027
- NPI assigned
- Aug 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Valerie A Purvin, MD
- Title
- President
- Phone
- (317) 817-1254
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 01033011 | IN | Primary |
Addresses
Primary practice location
201 Pennsylvania Parkway
Indianapolis, IN 46280-1381
Mailing address
201 Pennsylvania Parkway
Indianapolis, IN 46280-1381
Phone (317) 817-1254
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100277940 | Medicaid | IN |
Other names 1
- Indiana Neuro Ophthalmology
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219708800000",
"number": "1346358439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 PENNSYLVANIA PARKWAY",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462801381",
"telephone_number": "317-817-1254",
"fax_number": "317-817-1027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 PENNSYLVANIA PARKWAY",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462801381",
"telephone_number": "317-817-1254",
"fax_number": "317-817-1027"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALERIE A PURVIN MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-28",
"last_updated": "2008-08-26",
"status": "A",
"authorized_official_last_name": "PURVIN",
"authorized_official_first_name": "VALERIE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "317-817-1254",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IN",
"license": "01033011",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100277940",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Indiana Neuro Ophthalmology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.