Organization Active NPI

Rod Purdie M D P C

  • Psychiatry Physician
  • Tulsa, OK
National Provider Identifier
1780759597
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
19098 Issued in OK
Legal business name
ROD PURDIE M D P C
Practice address
3222 E 93Rd St
Tulsa, OK 74137-3639
Phone
(918) 518-5332
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Dr. Rod N Purdie, M.D.
Title
President
Phone
(918) 518-5332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 19098 OK Primary

Addresses

Primary practice location

3222 E 93Rd St
Tulsa, OK 74137-3639

Mailing address

3222 East 93Rd St.
Tulsa, OK 74137
Phone (918) 518-5332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040127001153 OK Part B Supplier - Clinic/Group Practice 0143123323 Receives reassigned benefits from 1 practitioner
Practice locations: Broken Arrow, OK; Tulsa, OK; Glenpool, OK; Sapulpa, OK

National Provider Directory

National Provider Directory

Locations

1944 N Iroquois Ave
Tulsa, OK 74106
Phone (918) 583-1509

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1780759597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3222 EAST 93RD ST.",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74137",
            "telephone_number": "918-518-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3222 E 93RD ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741373639",
            "telephone_number": "918-518-5332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROD PURDIE M D P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "PURDIE",
        "authorized_official_first_name": "ROD",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-518-5332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "19098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.