JACK PURDY MD INC (NPI# 1154510899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154510899 |
| Entity Type | Organization |
| Organization Name | JACK PURDY MD INC |
| Practice Address |
17525 Ventura Blvd Ste 203 Encino CA 91316-5109 |
| Practice Telephone | 8189860200 |
| Practice Fax Number | 8189864393 |
| Mailing Telephone | 8189860200 |
| Mailing Fax Number | 8189864393 |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2010-02-26 |
| Authorized Official Name | JACK C PURDY (OWNER/ CEO PHYSCIAN AND SURGEON) |
| Authorized Official Telephone | 3104533533 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | G31387 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE | G31387 | 01 |
| Street Address |
17525 VENTURA BLVD STE 203 |
| City | ENCINO |
| State | CA |
| Zip Code | 91316-5109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063483162 | Brian Shih | Anesthesiology | 17525 Ventura Blvd Ste 203, Encino, CA 91316-5109 | 2006-01-28 |
| 1629382031 | California Orthopedics and Sports Medicine Associates | Orthopaedic Surgery | 17525 Ventura Blvd Ste 203, Encino, CA 91316-5109 | 2010-07-28 |
| 1457687931 | Clifford Kahn Md | Durable Medical Equipment & Medical Supplies | 17525 Ventura Blvd Ste 203, Encino, CA 91316-5109 | 2009-10-19 |
| 1427225440 | Elliot Ryan Carlisle Md Inc | Orthopaedic Surgery | 17525 Ventura Blvd Ste 203, Encino, CA 91316-5109 | 2008-05-08 |
| 1134318876 | Ian Armstrong M D Inc | Neurological Surgery | 17525 Ventura Blvd Ste 203, Encino, CA 91316-5109 | 2007-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548883341 | Kerry Ann Mclean | Marriage & Family Therapist | 1777 Ventura Blvd Unit 103, Encino, CA 91316 | 2020-05-27 |
| 1336793124 | Achieve Speech Associates, Inc. | Clinic/Center | 17605 Ventura Boulevard, #302, Encino, CA 91316 | 2019-07-30 |
| 1053978312 | Somnia Sleep Science & Treatment Center | Clinic/Center | 5435 Balboa Blvd Suite 100, Encino, CA 91316 | 2019-05-22 |
| 1437634466 | New Spirit Recovery, LLC | Substance Abuse Rehabilitation Facility | 17856 Cathedral Pl., Encino, CA 91316 | 2018-09-25 |
| 1649762014 | Hashemi Ophthalmology, PC | Ophthalmology | 5353 Balboa Blvd Ste 110, Encino, CA 91316 | 2018-06-01 |
| 1932614310 | Hannah Esther Weinsrein | Marriage & Family Therapist | 17337 Ventura Blvd., Sutie #317, Encino, CA 91316 | 2017-12-07 |
| 1881118560 | Paula Miley | Marriage & Family Therapist | 5535 Balboa Blvd #202, Encino, CA 91316 | 2017-08-03 |
| 1477088193 | Rachela Conti | Psychologist | 5400 Balboa Blvd. #311, Encino, CA 91316 | 2017-05-01 |
| 1962857235 | Jessica Shlager | Occupational Therapist | 6345 Balboa Boulevard Suite 120, Encino, CA 91316 | 2016-04-25 |
| 1720432800 | Canyon West Los Angeles LLC | Clinic/Center | 17167 W. Ventura Boulevard, Encino, CA 91316 | 2016-04-14 |
| Find all providers in zip 91316 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114321627 | Ramin Rabbani, Md Inc | Orthopaedic Surgery | 16661 Ventura Blvd Ste 314, Encino, CA 91436-1914 | 2014-10-13 |
| 1003132127 | Jonathan Oheb | Orthopaedic Surgery | 5363 Balboa Blvd Ste 445, Encino, CA 91316-2844 | 2010-04-14 |
| 1720158488 | Advanced Orthopedics, A Medical Group | Orthopaedic Surgery | 16530 Ventura Bl, Suite 100, Encino, CA 91436 | 2006-11-09 |
| 1134215395 | Sohail Shayfer | Orthopaedic Surgery | 16030 Ventura Blvd Ste 100, Encino, CA 91436-2754 | 2006-10-05 |
| 1083692800 | Daniel M Silver | Orthopaedic Surgery | 5363 Balboa Blvd, Suite 445a, Encino, CA 91316-2844 | 2006-01-03 |
| 1619958626 | Clifford Robert Kahn | Orthopaedic Surgery | 17525 Ventura Blvd, Suite 203, Encino, CA 91316-5109 | 2005-11-07 |
| 1215924808 | Clive M. Segil | Orthopaedic Surgery | 17777 Ventura Blvd Ste 230, Encino, CA 91316-3748 | 2005-09-29 |
| 1528546108 | Jonathan Oheb Md Inc | Orthopaedic Surgery | 5363 Balboa Blvd Ste 445, Encino, CA 91316-2844 | 2018-08-05 |
| 1730616061 | Michael R. Shapiro, M.d., Inc. | Orthopaedic Surgery | 17609 Ventura Blvd Ste 304, Encino, CA 91316-5129 | 2017-05-17 |
| 1801265673 | Shahin S. Rad, M.d. PC | Orthopaedic Surgery | 16311 Ventura Blvd Ste 1150, Encino, CA 91436-4386 | 2015-09-22 |
| Find all providers in ENCINO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.