Organization Active NPI

Tarlok S Purewal M D Inc

  • Internal Medicine Physician
  • Marion, OH
National Provider Identifier
1518146471
Registry record updated Aug 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35034244 Issued in OH
Legal business name
TARLOK S PUREWAL M D INC
Practice address
1130 Independence Ave
Marion, OH 43302-6375
Phone
(740) 387-6243
Fax
(740) 387-0485
NPI assigned
Oct 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2010

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

Authorized official

Name
Dr. Tarlok S Purewal, M.D.
Title
Owner/M.D.
Phone
(740) 387-6243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 35034244 OH Primary

Addresses

Primary practice location

1130 Independence Ave
Marion, OH 43302-6375

Mailing address

1130 Independence Ave
Marion, OH 43302-6375
Phone (740) 387-6243

Other identifiers 1

IdentifierTypeStateIssuer
0226713MedicaidOH

National Provider Directory

National Provider Directory

Locations

1130 Independence Ave
#A
Marion, OH 43302

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1518146471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 INDEPENDENCE AVE",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026375",
            "telephone_number": "740-387-6243",
            "fax_number": "740-387-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 INDEPENDENCE AVE",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026375",
            "telephone_number": "740-387-6243",
            "fax_number": "740-387-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARLOK S PUREWAL M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2010-08-30",
        "status": "A",
        "authorized_official_last_name": "PUREWAL",
        "authorized_official_first_name": "TARLOK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/M.D.",
        "authorized_official_telephone_number": "740-387-6243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35034244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0226713",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.