Organization Active NPI

Kevin P Purgiel DO PC

  • Surgery Physician
  • Caledonia, MI
National Provider Identifier
1487832853
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5101015467 Issued in MI
Legal business name
KEVIN P PURGIEL DO PC
Practice address
9385 Cherry Valley Ave SE
Caledonia, MI 49316-8421
Phone
(616) 891-8500
NPI assigned
Feb 7, 2008
Last updated
Sep 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Authorized official

Name
Kevin Patrick Purgiel, D.O.
Title
President
Phone
(616) 891-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 5101015467 MI Primary

Addresses

Primary practice location

9385 Cherry Valley Ave SE
Caledonia, MI 49316-8421

Mailing address

PO Box 3140
Grand Rapids, MI 49501-3140
Phone (616) 891-8500

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1487832853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3140",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495013140",
            "telephone_number": "616-891-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9385 CHERRY VALLEY AVE SE",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493168421",
            "telephone_number": "616-891-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN P PURGIEL DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "PURGIEL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-891-8500",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101015467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caledonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.