Individual provider Active NPI

Thomas Purtzer, M.D.

  • Neurological Surgery Physician
  • Medford, OR
National Provider Identifier
1366623738
Registry record updated Nov 14, 2007
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Dec 20, 2015.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD12880 Issued in OR
Practice address
1322 E McAndrews Rd
Ste 101
Medford, OR 97504-6177
Phone
(541) 770-1650
NPI assigned
Nov 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD12880 OR Primary

Addresses

Primary practice location

1322 E McAndrews Rd
Ste 101
Medford, OR 97504-6177

Mailing address

1322 E McAndrews Rd
Ste 101
Medford, OR 97504-6177

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD12880ORMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce P. Decarlo, MD, Inc. Past Accepting new patients
Northwest Pain Management Inc Past Accepting new patients
Northwest Pain Management PC PastSince Aug 24, 2005 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1366623738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 E MCANDREWS RD",
            "address_2": "STE 101",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 E MCANDREWS RD",
            "address_2": "STE 101",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046177",
            "telephone_number": "541-770-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURTZER",
        "first_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-14",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OR",
            "license": "MD12880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.