NPIMap

Individual provider Active NPI

Shawn Purifoy, M.D.

  • Family Medicine Physician
  • Malvern, AR
National Provider Identifier
1861450942
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E0603 Issued in AR
Practice address
850 Henry St
Malvern, AR 72104-2712
Phone
(501) 337-1836
Fax
(501) 337-7935
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E0603 AR Primary

Addresses

Primary practice location

850 Henry St
Malvern, AR 72104-2712

Mailing address

850 Henry St
Malvern, AR 72104-2712
Phone (501) 337-1836

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060221000023 AR Practitioner - Family Practice 9931114493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shawn Purifoy MD PAGroup PAC ID 0749295202, 4 clinicians

Practice addresses (Care Compare)

850 Henry St
Malvern, AR 72104-2712
Phone (501) 337-1836

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E0603ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shawn Purifoy, M.D., P.a. Family Medicine CurrentSince May 18, 2010 Accepting new patients

Locations

850 Henry St
Malvern, AR 72104
Phone (501) 255-6000

Interoperability endpoints

  • Direct secure messaging: shawn.purifoy@mfmcpurifoy.eclinicaldirectplus.com

Organizations & group practices 1

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185840000000",
    "number": "1861450942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 HENRY ST",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721042712",
            "telephone_number": "501-337-1836",
            "fax_number": "501-337-7935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 HENRY ST",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721042712",
            "telephone_number": "501-337-1836",
            "fax_number": "501-337-7935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURIFOY",
        "first_name": "SHAWN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2007-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E0603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, AR

Sources for this page

Verify at the official NPI Registry.