Organization Active NPI

Valerie a Purvin MD PC

  • Neurology Physician
  • Indianapolis, IN
National Provider Identifier
1346358439
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
01033011 Issued in IN
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

Updated by the provider on Aug 26, 2008

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)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
100277940MedicaidIN

Other names 1

  • Indiana Neuro Ophthalmology Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.