DR. MARK LEE PURNELL (NPI# 1457315566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457315566 |
| Entity Type | Individual |
| Full Name | DR. MARK LEE PURNELL |
| Credential | MD |
| Practice Address |
1450 E Valley Rd Basalt CO 81621-8304 |
| Practice Telephone | 9709278611 |
| Practice Fax Number | 9709278633 |
| Mailing Telephone | 9709278611 |
| Mailing Fax Number | 9709278633 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2012-03-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 26418 | CO | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 1264183 | 05 |
| Street Address |
1450 E VALLEY RD |
| City | BASALT |
| State | CO |
| Zip Code | 81621-8304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992708622 | Karen Cross Locke | Family Medicine | 1450 E Valley Rd, Unit 101, Basalt, CO 81621-8352 | 2005-05-27 |
| 1427670504 | Valley View Hospital Association | Internal Medicine | 1450 E Valley Rd, Basalt, CO 81621-8304 | 2020-05-12 |
| 1518361070 | Jarid Patrick Rollins | Social Worker | 1450 E Valley Rd, Unit 102, Basalt, CO 81621-8352 | 2014-10-13 |
| 1386879831 | Sopris Medical Practice, P.C. | Clinic/Center | 1450 E Valley Rd, Suite 101, Basalt, CO 81621-8304 | 2009-05-27 |
| 1497993547 | Locke Aesthetics LLC | Family Medicine | 1450 E Valley Rd, Suite 101, Basalt, CO 81621-8304 | 2009-01-28 |
| 1710136395 | Grace Song | Physician Assistant | 1450 E Valley Rd, Suite 201, Basalt, CO 81621-8304 | 2008-09-18 |
| 1508039926 | Heidi Mitchell | Physical Therapy Assistant | 1450 E Valley Rd, Suite 203, Basalt, CO 81621-8304 | 2008-04-07 |
| 1780853085 | Rachael K Wymer | Physician Assistant | 1450 E Valley Rd, Suite 201, Basalt, CO 81621-8304 | 2008-02-21 |
| 1376711135 | Orthopaedic Associates of Aspen and Glenwood | Specialist | 1450 E Valley Rd, Ste 201, Basalt, CO 81621-8304 | 2008-02-14 |
| 1548448533 | Orthopaedic Associates of Aspen and Glenwood | Specialist | 1450 E Valley Rd, Ste 201, Basalt, CO 81621-8304 | 2008-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235777889 | Aspen Valley Hospital District | General Acute Care Hospital | 234 Cody Lane, Cardiac Rehab Basalt, Basalt, CO 81621 | 2019-12-13 |
| 1972925691 | Kristin Lynne Werner | Counselor | 207 Basalt Center Circle, Suite 201, Basalt, CO 81621 | 2014-01-15 |
| 1831449008 | Jody Powell | Naturopath | 189 Basalt Center Cir, Basalt, CO 81621 | 2012-09-14 |
| 1619274263 | Marcus Blue | Dentist | 227 Midland Avenue, Suite C-6, Basalt, CO 81621 | 2011-02-17 |
| 1669790572 | Win Health Institute, LLC | Health Maintenance Organization | 110 Midland Avenue, Suite 2, Basalt, CO 81621 | 2010-05-17 |
| 1730320557 | Frederick Elias Persiko | Counselor | 23400 Two Rivers Road, #49, Basalt, CO 81621 | 2009-03-09 |
| 1235305467 | Rachel Cherie Carey | Specialist | 1460 East Valley Road, Suite 101, Basalt, CO 81621 | 2008-05-07 |
| 1679697973 | Thomas Robert Lankering | Chiropractor | 189 Basalt Center Circle, Basalt, CO 81621 | 2007-03-19 |
| 1598850166 | Locke Family Medicine, LLC | Family Medicine | 1450 East Valley Road, Suite 101, Basalt, CO 81621 | 2006-10-03 |
| 1013925098 | Karen Chrisholm Stevenson | Physical Therapist | 1450 E Valley Road, Ste 203, Basalt, CO 81621 | 2006-08-04 |
| Find all providers in zip 81621 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093945685 | Win Hbo | Specialist | 1460 E Valley Rd, 104, Basalt, CO 81621-8411 | 2009-07-17 |
| 1235305467 | Rachel Cherie Carey | Specialist | 1460 East Valley Road, Suite 101, Basalt, CO 81621 | 2008-05-07 |
| 1104094119 | Aspen Diagnostics & Decompression | Specialist | 24505 Highway 82, Basalt, CO 81621-9204 | 2008-02-12 |
| 1558406710 | Paula Jane Barclay | Specialist | 0381 Southside Dr, Basalt, CO 81621-9170 | 2007-02-21 |
| 1205925575 | Levy Physical Therapy, Inc | Specialist | 711 E Valley Rd Unit 202b, Basalt, CO 81621-8370 | 2006-10-12 |
| 1669017661 | Valley View Hospital Association | Specialist | 350 Market St Unit 200c, Basalt, CO 81621-7403 | 2019-11-13 |
| 1376711135 | Orthopaedic Associates of Aspen and Glenwood | Specialist | 1450 E Valley Rd, Ste 201, Basalt, CO 81621-8304 | 2008-02-14 |
| 1548448533 | Orthopaedic Associates of Aspen and Glenwood | Specialist | 1450 E Valley Rd, Ste 201, Basalt, CO 81621-8304 | 2008-02-01 |
| 1790974434 | David J Borchers Md PC | Specialist | 100 Elk Run Dr, Suite 101, Basalt, CO 81621-9205 | 2007-10-18 |
| 1184688202 | John Robert Freeman | Specialist | 1450 E Valley Rd, Suite 201, Basalt, CO 81621-8304 | 2006-04-14 |
| Find all providers in BASALT | ||||
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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.