Active NPI
Elizabeth Purvis Archer, DC
- Chiropractor
- Caldwell, OH
National Provider Identifier
1578616033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3527
- Practice address
- 111 West St
Caldwell, OH 43724-1359 - Phone
- (740) 732-7050
- Fax
- (740) 732-4837
- NPI assigned
- Jan 19, 2007
- Last updated
- May 8, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3527 | OH | Primary |
Addresses
Primary practice location
111 West St
Caldwell, OH 43724-1359
Mailing address
111 West St
Caldwell, OH 43724-1359
Phone (740) 732-7050
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56248594300 | Other | OH | WORKERS COMP |
| 000000351472 | Other | OH | BLUE CROSS BLUE SHIELD |
| 2519386 | Medicaid | OH | |
| CO3527 | Other | OH | HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
111 W St
Caldwell, OH 43724-1359
Phone (740) 732-7050
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3527 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Purvis Chiropractic LLC | Chiropractor | Current | Accepting new patients |
| Chiroserv PC | Chiropractor | Past | Accepting new patients |
Locations
111 West St
Caldwell, OH 43724
Phone (740) 732-7050
Organizations & group practices 2
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.
-
- Chiropractor
- Caldwell, OH
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- NPI 1669557583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525737600000",
"number": "1578616033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 WEST ST",
"city": "CALDWELL",
"state": "OH",
"postal_code": "437241359",
"telephone_number": "740-732-7050",
"fax_number": "740-732-4837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 WEST ST",
"city": "CALDWELL",
"state": "OH",
"postal_code": "437241359",
"telephone_number": "740-732-7050",
"fax_number": "740-732-4837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURVIS ARCHER",
"first_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2018-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "3527",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMP",
"identifier": "56248594300",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000000351472",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2519386",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLAN",
"identifier": "CO3527",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Caldwell, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.