Angel Purdy, M.D., P.a.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

D0061231 Issued in MD

Legal business name

ANGEL PURDY, M.D., P.A.

Practice address

3635 Old Court Rd
Suite 412
Pikesville, MD 21208-3915

Phone

(410) 602-3656

Fax

(410) 602-3658

NPI assigned

Aug 21, 2007

Last updated

Nov 8, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Angel Marlo Purdy, M.D.NPI 1457339145

Title

President

Phone

(410) 602-3656

Specialties & licenses 1

Addresses

Locations

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.

• Angel Marlo Purdy, M.D.

  • Specialist
  • Pikesville, MD
  • NPI 1457339145
  Authorized official Same address or phone

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1538352877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 OLD COURT RD",
            "address_2": "SUITE 412",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212083915",
            "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": "SUITE 412",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212083915",
            "telephone_number": "410-602-3656",
            "fax_number": "410-602-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL PURDY, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "PURDY",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "MARLO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-602-3656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MD",
            "license": "D0061231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Plastic Surgery Physician in Pikesville, MD
• Providers in Pikesville, MD by specialty
• Plastic Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; 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.