Individual provider Active NPI

Stephanie Purnell, MD, MPH

  • Family Medicine Physician
  • Baltimore, MD
National Provider Identifier
1720567894
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0092627 Issued in MD
Practice address
600 Wyndhurst Ave Ste 160
Baltimore, MD 21210-2495
Phone
(410) 800-3280
NPI assigned
Aug 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0092627 MD Primary
Family Medicine Physician 207Q00000X MD210002643 DC

Addresses

Primary practice location

600 Wyndhurst Ave Ste 160
Baltimore, MD 21210-2495

Mailing address

600 Wyndhurst Ave Ste 160
Baltimore, MD 21210-2495
Phone (410) 800-3280

Other practice location 1

1225 4th St NE
Washington, DC 20002-3431
Phone (202) 347-8512

Other practice location 2

19650 Club House Rd # 101
Montgomery Village, MD 20886-3003
Phone (301) 208-1300

Other identifiers 1

IdentifierTypeStateIssuer
277241MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211109000112 MD Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 4284966458 Reassigns benefits to 1 organization
I20211109000137 DC Practitioner - Family Practice 4284966458 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD210002643DCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gynemed ASC LLC Current Accepting new patients
Premier Wellness Medical Practice, LLC Current Accepting new patients
Patient First Maryland Medical Group PLLC Family Medicine CurrentSince Sep 17, 2021 Accepting new patients
Gynemed Surgical Center CurrentSince Nov 1, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Best Remedy Urgent Care LLC Past Accepting new patients
David M O'Neil MD PA Past Accepting new patients

Locations

1501 Sulgrave Ave
Ste 302
Baltimore, MD 21209
Phone (410) 699-9552

726 Rockville Pike
Rockville, MD 20852
Phone (240) 238-0411

17 Fontana Ln
Ste 201
Rosedale, MD 21237
Phone (410) 391-1000

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1720567894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 WYNDHURST AVE STE 160",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102495",
            "telephone_number": "410-800-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 WYNDHURST AVE STE 160",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102495",
            "telephone_number": "410-800-3280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 4th St NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200023431",
            "country_code": "US",
            "telephone_number": "202-347-8512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19650 Club House Rd # 101",
            "address_purpose": "LOCATION",
            "city": "Montgomery Village",
            "state": "MD",
            "postal_code": "208863003",
            "country_code": "US",
            "telephone_number": "301-208-1300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PURNELL",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0092627",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "MD210002643",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277241",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.