| Dr John M Purvis, MD | |
|
2500 North State Street, Department Of Orthopedics, Jackson, MS 39216-4500 | |
| (601) 984-5139 | |
| (601) 353-8155 |
| Full Name | Dr John M Purvis |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 2500 North State Street, Jackson, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831102946 | NPI | - | NPPES |
| 135816 | Medicaid | AL | |
| 00112802 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 07048 (Mississippi) | Primary |
| Entity Name | State Of Mississippi-university Of Mississippi Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John M Purvis, MD P.o. Box 24146, University Physicians, Pllc, Jackson, MS 39225-4146 Ph: (601) 353-8066 | Dr John M Purvis, MD 2500 North State Street, Department Of Orthopedics, Jackson, MS 39216-4500 Ph: (601) 984-5139 |
Stephen Ryan Chen, Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-6525 | |
Dr. Trevor Reed Pickering, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1325 E Fortification St, Jackson, MS 39202 Phone: 601-354-4488 Fax: 601-960-4586 | |
Dr. Fortunato Gabriel Padua, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1325 E Fortification St, Jackson, MS 39202 Phone: 601-354-4488 Fax: 601-351-5980 | |
Latoya Braylock, Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-6525 | |
Dr. Larry Daniel Field, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1325 E Fortification St, Jackson, MS 39202 Phone: 601-354-4488 Fax: 601-914-1861 | |
Dr. James William Woodall Jr., M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1325 E Fortification St, Jackson, MS 39202 Phone: 601-354-4488 | |
Kevin Francis Purcell, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-6525 |