DR. WILLIAM EBBERT PURNELL JR. (NPI# 1902819469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902819469 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM EBBERT PURNELL JR. |
| Credential | MD |
| Practice Address |
1155 Mission St Se Suite 105 Salem OR 97302-6228 |
| Mailing Address |
4744 Independence Dr Se Salem OR 97302-6407 |
| Practice Telephone | 5033620254 |
| Practice Fax Number | 5033621082 |
| Mailing Telephone | 5033630060 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2008-04-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD14691 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
1155 MISSION ST SE SUITE 105 |
| City | SALEM |
| State | OR |
| Zip Code | 97302-6228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306893979 | Mission Medical Imaging | Radiology | 1155 Mission St Se, Suite 105, Salem, OR 97302-6228 | 2006-05-28 |
| 1114268273 | Shawna Cozens | Physician Assistant | 1155 Mission St Se, Suite 205, Salem, OR 97302-6228 | 2013-03-13 |
| 1518225242 | Wvp Medical Group, LLC | Clinic/Center | 1155 Mission St Se, Suite 205, Salem, OR 97302-6228 | 2012-05-01 |
| 1316114465 | Lynette Myra Lenz | Physician Assistant | 1155 Mission St Se, Suite 205, Salem, OR 97302 | 2008-05-08 |
| 1770646663 | Kurt L. Atkin | Physician Assistant | 1155 Mission St Se, Suite 205, Salem, OR 97302-6228 | 2006-12-19 |
| 1942318613 | Willamette Valley Radiology | Radiology | 1155 Mission St Se, Suite 105, Salem, OR 97302-6228 | 2006-08-25 |
| 1801904586 | Anthony George Pappas | Radiology | 1155 Mission St Se, Suite 105, Salem, OR 97302-6228 | 2006-08-25 |
| 1396858353 | Salem Family Physicians, P.C. | Legal Medicine | 1155 Mission St Se, Suite 205, Salem, OR 97302-6228 | 2006-08-16 |
| 1093759052 | Richard Hall | Family Medicine | 1155 Mission St Se, Salem, OR 97302-6228 | 2006-06-16 |
| 1699715409 | Deborah Cox | Pediatrics | 1155 Mission St Se, Salem, OR 97302-6228 | 2006-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
| 1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| 1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
| 1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
| 1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
| 1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
| 1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
| Find all providers in zip 97302 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730357617 | Ralph E Adams | Radiology | 3506 Cherokee Dr S, Salem, OR 97302-9712 | 2008-02-13 |
| 1760565303 | Piper Rooke | Radiology | 1165 Union St Ne Ste 100, Salem, OR 97301-4693 | 2006-10-24 |
| 1679586234 | Stephen E Fitch | Radiology | Skyline Medical Office, 5125 Skyline Rd, S, Kaiser Permanente, Salem, OR 97306-9427 | 2006-08-14 |
| 1053330639 | Robert S Andrews | Radiology | 11 Coxswain Pl, Salem, SC 29676-4442 | 2006-07-18 |
| 1093731440 | Kenneth H Elson | Radiology | 755 Honeysuckle Rd, Salem, VA 24153-2745 | 2006-07-15 |
| 1306893979 | Mission Medical Imaging | Radiology | 1155 Mission St Se, Suite 105, Salem, OR 97302-6228 | 2006-05-28 |
| 1417908757 | Jose Novoa | Radiology | 2925 Ryan Dr Se, Salem, OR 97301-9687 | 2006-05-12 |
| 1093779282 | Edwin Yen Wang | Radiology | 698 12th St Se Ste 145, Salem, OR 97301 | 2006-04-14 |
| 1548247901 | Placido De Guzman | Radiology | 1970 Roanoke Blvd., Salem, VA 24153-6404 | 2005-12-28 |
| 1215924089 | Salem Radiology Associates | Radiology | 310 Woodstown Rd, Salem, NJ 08079-2064 | 2005-10-05 |
| Find all providers in SALEM | ||||
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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.