Angel Marlo Purdy, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

D0061231 Issued in MD

Practice address

3635 Old Court Rd
Ste 412
Pikesville, MD 21208

Phone

(410) 602-3656

Fax

(410) 602-3658

NPI assigned

Jan 4, 2006

Last updated

Jun 19, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Angel Purdy, M.D., P.a.

  • Plastic Surgery Physician
  • Pikesville, MD
  • NPI 1538352877
  Authorized official Same address or phone
• Grace Medical Center, Inc.

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1962480772
  NPD (past)
• Terri L Hill MD PA

  • Plastic and Reconstructive Surgery Physician
  • Glen Burnie, MD
  • NPI 1285615690
  NPD (past)
• Urban Medical Institute

  • Community Health Clinic/Center
  • Baltimore, MD
  • NPI 1396950911
  NPD (past)

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1457339145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 OLD COURT RD",
            "address_2": "STE 412",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "21208",
            "telephone_number": "410-602-3656",
            "fax_number": "410-602-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 OLD COURT RD",
            "address_2": "STE 412",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "21208",
            "telephone_number": "410-602-3656",
            "fax_number": "410-602-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURDY",
        "first_name": "ANGEL",
        "middle_name": "MARLO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0061231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malakai David Prudent
• Jennifer Pryde, CRNP
• Erin E Przybyla, DC
• PT on the Go LLC
• Bella Puchaev
• Kamari Elizabeth Puryear
• Sharon Mae Pusin, M.D,
• Joy Marie Quaintance, PSYCH. ASS.
• Teresita Rabago, RN
• Hannah M Radic

• Specialist in Pikesville, MD
• Providers in Pikesville, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.