Michael B Purnell M D Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A454810 Issued in CA

Legal business name

MICHAEL B PURNELL M D INC

Practice address

1335 Coffee Rd Ste 100
Modesto, CA 95355-3192

Phone

(209) 524-5977

Fax

(209) 524-7395

NPI assigned

Oct 4, 2007

Organization subpart

No

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

Authorized official

Name

Collette J Castillo, CPC

Title

Billing Supervisor

Phone

(209) 524-4438

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael B Purnell, MD

  • Orthopaedic Surgery Physician
  • Modesto, CA
  • NPI 1982652459
  Medicare reassignment NPD

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1447448378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 COFFEE RD STE 100",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553192",
            "telephone_number": "209-524-5977",
            "fax_number": "209-524-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 COFFEE RD STE 100",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553192",
            "telephone_number": "209-524-5977",
            "fax_number": "209-524-7395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL B PURNELL M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "COLLETTE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "209-524-4438",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A454810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A454810",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "2095244649",
            "affiliation": "N",
            "endpointDescription": "Office Fax number",
            "address_1": "1335 Coffee Rd Ste 100",
            "city": "Modesto",
            "state": "CA",
            "country_code": "US",
            "postal_code": "953553192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jasmine Meza-Anguiano
• Esperanza Meza
• MHN Services
• Hui Miao, MD
• Anthony Miceli
• Michael Lopez Dental Corporation
• Michael They
• Michael They
• Joshua Michael
• Carol Lynn Michaelis

• Specialist in Modesto, CA
• Providers in Modesto, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.