Purcell Integrative Osteopathic Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PURCELL INTEGRATIVE OSTEOPATHIC CLINIC

Practice address

353 Market St
Sunbury, PA 17801-3403

Phone

(570) 975-1615

NPI assigned

Nov 28, 2016

Last updated

Nov 28, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Purcell, D.O.

Title

Physician

Phone

(518) 810-5002

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480291200000",
    "number": "1376086116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 16TH ST",
            "city": "NORTHUMBERLAND",
            "state": "PA",
            "postal_code": "178579402",
            "telephone_number": "518-810-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 MARKET ST",
            "city": "SUNBURY",
            "state": "PA",
            "postal_code": "178013403",
            "telephone_number": "570-975-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURCELL INTEGRATIVE OSTEOPATHIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-28",
        "last_updated": "2016-11-28",
        "status": "A",
        "authorized_official_last_name": "PURCELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "518-810-5002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1306139332",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Lynn Polcovich
• Kassandra Portzline
• Premier Emergency Physicians, LLC
• Michele Erion Pryor, OTR/L
• Psychological Services Clinic Inc
• Radiological Assoc of Sunbury
• Steven D Ravert, D.P.M.
• Jennifer A Rebuck, ATC
• Heather Reevs, ABOC
• Jolene Veronica Retallack

• Clinic/Center in Sunbury, PA
• Providers in Sunbury, PA by specialty
• Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.