Mr Jack Charles Purdy, MD is a
Orthopaedic Surgery physician based in Pacific Palisades, California. Mr Jack Charles Purdy is licensed to practice in California (license number 00G313870) and his current practice location is 17337 Tramonto Dr, Unit 210, Pacific Palisades, California. He can be reached at his office (for appointments etc.) via phone at
(310) 453-3533.
NPI number for Mr Jack Charles Purdy is 1801872155 and his current mailing address is 17337 Tramonto Dr, Unit 210, Pacific Palisades, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1801872155.
Physician's Profile
| Full Name | Mr Jack Charles Purdy |
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| Gender | Male |
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| Speciality | Orthopaedic Surgery |
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| Location | 17337 Tramonto Dr, Pacific Palisades, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1801872155
- Provider Enumeration Date: 12/19/2005
- Last Update Date: 08/25/2014
Medical Identifiers
Medical identifiers for Mr Jack Charles Purdy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801872155 | NPI | - | NPPES |
| 27526938 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207X00000X | Orthopaedic Surgery | 00G313870 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jack Charles Purdy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Jack Charles Purdy, MD
17337 Tramonto Dr, Unit 210,
Pacific Palisades, CA 90272-3121
Ph: (310) 453-3533 | Mr Jack Charles Purdy, MD
17337 Tramonto Dr, Unit 210,
Pacific Palisades, CA 90272-3121
Ph: (310) 453-3533 |
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