Individual provider Active NPI

Constance Beth Purser, M.D.

  • Internal Medicine Physician
  • Lakewood Ranch, FL
National Provider Identifier
1922048719
Registry record updated Dec 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME99579 Issued in FL
Practice address
8936 77TH Ter E Unit 102
Lakewood Ranch, FL 34202-6419
Phone
(941) 361-1177
Fax
(941) 361-2422
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME99579 FL Primary

Addresses

Primary practice location

8936 77TH Ter E Unit 102
Lakewood Ranch, FL 34202-6419

Mailing address

8936 77TH Ter E Unit 102
Lakewood Ranch, FL 34202-6419
Phone (941) 361-1177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080911000665 FL Practitioner - Internal Medicine 7315911088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME99579FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Constance B Purser MD PL Internal Medicine CurrentSince Jun 11, 2008 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Manasota Medical Group LLC Internal Medicine Past Accepting new patients

Locations

8936 77th Ter E
Unit 102
Lakewood Ranch, FL 34202
Phone (941) 343-7519

Organizations & group practices 3

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228953600000",
    "number": "1922048719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8936 77TH TER E UNIT 102",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342026419",
            "telephone_number": "941-361-1177",
            "fax_number": "941-361-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8936 77TH TER E UNIT 102",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342026419",
            "telephone_number": "941-361-1177",
            "fax_number": "941-361-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURSER",
        "first_name": "CONSTANCE",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2008-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME99579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

Verify at the official NPI Registry.