Active NPI
Polly Annette Purgason, M.D.
- Ophthalmology Physician
- Richmond, VA
National Provider Identifier
1720184674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 0101048952
- Practice address
- 400 Westhampton Sta
Richmond, VA 23226-3330 - Phone
- (804) 287-4200
- NPI assigned
- Sep 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 0101048952 | VA | Primary |
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | 0101048952 | VA |
Addresses
Primary practice location
400 Westhampton Sta
Richmond, VA 23226-3330
Mailing address
400 Westhampton Sta
Richmond, VA 23226-3330
Phone (804) 287-4200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006321569 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461110400000",
"number": "1720184674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 WESTHAMPTON STA",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232263330",
"telephone_number": "804-287-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 WESTHAMPTON STA",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232263330",
"telephone_number": "804-287-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURGASON",
"first_name": "POLLY",
"middle_name": "ANNETTE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2016-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "VA",
"license": "0101048952",
"primary": true
},
{
"code": "207WX0200X",
"taxonomy_group": "",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": "VA",
"license": "0101048952",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006321569",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.