Purple Palace

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

COSM.933895 Issued in OH

Legal business name

PURPLE PALACE

Practice address

1214 Milford St NE
Canton, OH 44714-1636

Phone

(234) 521-9147

NPI assigned

Aug 19, 2015

Organization subpart

No

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

Authorized official

Name

Lisa C Allen, HAIR LOSS SPECIALIST

Title

Owner

Phone

(234) 521-9147

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1821464322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 MILFORD ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447141636",
            "telephone_number": "234-521-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 MILFORD ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447141636",
            "telephone_number": "234-521-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPLE PALACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "234-521-9147",
        "authorized_official_credential": "HAIR LOSS SPECIALIST"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "OH",
            "license": "COSM.933895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED HAIR LOSS SPECIALIST",
            "identifier": "1744P32OOX",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pulmonary Physicians Inc
• Pulmonology Critical Care Physicians Inc.
• Purity North Services LLC
• Khalilah Hershell Purnell-Simpson
• Purple Hearts Foundation of Care LLC
• Tiffany Purtell
• John Paul Puskar, CRNA
• Michael Edward Putinski, PMHNP-BC
• Erika D Putnam
• Christine Putney

• Prosthetics Case Management in Canton, OH
• Providers in Canton, OH by specialty
• Prosthetics Case Management in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.