DR. MALCOLM H PURDY


Address: 715 Dr Martin Luther King Jr Ave Se, Suite 102, Albuquerque, NM 87102
Phone: 5057273040

DR. MALCOLM H PURDY (NPI# 1679535827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679535827
Entity Type Individual
Full Name DR. MALCOLM H PURDY
Credential M.D.
Practice Address 715 Dr Martin Luther King Jr Ave Se
Suite 102
Albuquerque
NM 87102
Mailing Address 715 Dr Martin Luther King Jr Ave Ne
Suite 102
Albuquerque
NM 87102-3661
Practice Telephone 5057273040
Practice Fax Number 5057273099
Mailing Telephone 5057273040
Mailing Fax Number 5057273099
Enumeration Date 2006-04-04
Last Update Date 2015-01-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 95-325 NM Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NM T5579 05

Office Location

Street Address 715 DR MARTIN LUTHER KING JR AVE SE
SUITE 102
City ALBUQUERQUE
State NM
Zip Code 87102

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1093276651 Tina Marie Trujillo Behavioral Analyst Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 2019-03-27
1861950370 Meghan Montoya Student in an Organized Health Care Education/Training Program 801 Camino De Salud, Albuquerque, NM 87102 2019-03-05
1174099329 Dilshani N Tyson Counselor 600 1st Street Nw Ste 200, Albuquerque, NM 87102 2018-10-15
1962987925 Tania L Goldfeder Social Worker New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 2018-09-26
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

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.

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1669824652 Jeanette Marie Deanda Specialist 34 Monticello Dr Ne, Albuquerque, NM 87123-9601 2016-07-01
1881054583 Tlc Therapeutics LLC Specialist 2708 San Mateo Blvd Ne, Albuquerque, NM 87110-3160 2016-02-24
1497145940 Elevate: Performance Health Wellness Specialist 3901 Singer Blvd Ne, Suite B, Albuquerque, NM 87109-5862 2015-02-04
1336541184 Thomas Lopez I Specialist 4000 Edith Blvd Ne, Albuquerque, NM 87107-2222 2014-09-24
1558787267 Erica Saldana Specialist 5801 Jones Pl Nw, Albuquerque, NM 87120-2003 2014-03-05
1164851382 Djaa Tlhenai Medicine Lodge Specialist 111 Carlisle Blvd Se, Albuquerque, NM 87106-1427 2013-11-07
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Competitor

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City ALBUQUERQUE
Zip Code 87102

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Dataset Information

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.

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