NPIMap

Individual provider Active NPI

John David Purviance, M.D.

  • Radiation Oncology Physician
  • Casper, WY
National Provider Identifier
1437279692
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
7688A Issued in WY
Practice address
6501 E 2ND St
Rocky Mountain Oncology Center
Casper, WY 82609-4293
Phone
(307) 235-5433
Fax
(307) 233-4700
NPI assigned
Mar 30, 2007
Last updated
Mar 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 7688A WY Primary

Addresses

Primary practice location

6501 E 2ND St
Rocky Mountain Oncology Center
Casper, WY 82609-4293

Mailing address

6501 E 2ND St
Casper, WY 82609-4293
Phone (307) 235-5433

Other identifiers 2

IdentifierTypeStateIssuer
121006800MedicaidWY
315235OtherWYBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070816000663 WY Practitioner - Radiation Oncology 2163514415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Tufts University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rocky Mountain Oncology Center LLCGroup PAC ID 6709879174, 8 clinicians

Practice addresses (Care Compare)

6501 E 2ND St
Casper, WY 82609-4293
Phone (307) 235-5433

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.49 of 100Reported as individual
Quality
72.99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
33.71 of 100Reported as group
Quality
39.66
Improvement activities
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Oncology Center, LLC Radiation Oncology CurrentSince Jul 15, 2007 Accepting new patients

Locations

6501 E 2nd St
Casper, WY 82609
Phone (307) 235-5433

Interoperability endpoints

  • Direct secure messaging: john.purviance@direct.wyomingmedicalcenter.org
  • Direct secure messaging: jpurviance@epluscancercare.direct.varian.com
  • Direct secure messaging: jpurviance@ionetwork.direct.varian.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1437279692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094293",
            "telephone_number": "307-235-5433",
            "fax_number": "307-233-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 E 2ND ST",
            "address_2": "ROCKY MOUNTAIN ONCOLOGY CENTER",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094293",
            "telephone_number": "307-235-5433",
            "fax_number": "307-233-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURVIANCE",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WY",
            "license": "7688A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121006800",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "315235",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.