DR. CHARLES R. PURDY (NPI# 1992773675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992773675 |
| Entity Type | Individual |
| Full Name | DR. CHARLES R. PURDY |
| Credential | M.D. |
| Practice Address |
83 Old Mill Creek Rd Enterprise MS 39330-9649 |
| Mailing Address |
83a Old Mill Creek Road Enterprise MS 39330 |
| Practice Telephone | 6017041020 |
| Practice Fax Number | 6017041021 |
| Mailing Telephone | 6017041020 |
| Mailing Fax Number | 6017041021 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2014-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 18829 | MS | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 18829 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 07375770 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134374309 | Charles Robert Purdy Jr. | Registered Nurse | 5667 Mark Trl, House Springs, MO 63051-2240 | 2008-12-01 |
| 1932134046 | Charles Purdy | Family Medicine | 141 W 22nd St, Suite 311, Anderson, IN 46016-4304 | 2006-07-11 |
| Street Address |
83 OLD MILL CREEK RD |
| City | ENTERPRISE |
| State | MS |
| Zip Code | 39330-9649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447575394 | Enterprise Pharmacy LLC | Pharmacy | 83 Old Mill Creek Rd, Enterprise, MS 39330-9649 | 2010-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710051206 | Enterprise Ambulence Service | Ambulance | Hwy 513, Enterprise, MS 39330 | 2006-11-17 |
| 1679710933 | Keisha L Oliphant | Nurse Practitioner | 9421 Eastside Drive Ext, Newton, MS 39330-0000 | 2009-01-08 |
| 1669086591 | Justlikehome Supportive Living LLC | Assisted Living Facility | 9 County Road 3312, Enterprise, MS 39330-9070 | 2020-09-08 |
| 1750671665 | Anderson Physician Alliance, Inc. | Family Medicine | 83 Old Mill Creek Road, Enterprise, MS 39330-9649 | 2011-04-12 |
| 1154629178 | Ashley D Gray | Nurse Practitioner | 83a Old Mill Creek Rd, Enterprise, MS 39330-9649 | 2011-03-01 |
| 1356780423 | Anderson Regional Medical Center | Clinic/Center | 83a Old Mill Creek Rd, Enterprise, MS 39330-9649 | 2013-06-21 |
| 1780096586 | Rest Haven | Assisted Living Facility | 686 County Road 370, Enterprise, MS 39330-9727 | 2014-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727266 | Jessica Lea Hawken | Counselor | 202 Britt Dr, Enterprise, AL 36330-7882 | 2020-10-12 |
| 1225635196 | Angel's Pond Counseling | Counselor | 208 Searcy St, Enterprise, AL 36330-2739 | 2020-10-05 |
| 1861007957 | Kerri Lane Griffin | Nurse Practitioner | 1275 James Dr Ste A, Enterprise, AL 36330-2484 | 2020-09-15 |
| 1669086591 | Justlikehome Supportive Living LLC | Assisted Living Facility | 9 County Road 3312, Enterprise, MS 39330-9070 | 2020-09-08 |
| 1093328676 | Mt Therapy LLC | Marriage & Family Therapist | 401 Lake Oliver Dr, Enterprise, AL 36330-1440 | 2020-08-25 |
| 1790396471 | Erica Louise Bailey | Optometrist | 519 W North St, Enterprise, OR 97828-1044 | 2020-08-14 |
| 1093325268 | Keith Aaron Cates | Counselor | 903 W College St, Enterprise, AL 36330-2846 | 2020-08-03 |
| 1417566860 | Julia Brooke Lowe | Pharmacist | 847 Boll Weivell Circle #112, Enterprise, AL 36330 | 2020-07-30 |
| 1811514722 | Susan Maxine Wagner | Nurse Practitioner | 103 Hilton Cir, Enterprise, AL 36330-7815 | 2020-06-26 |
| 1285250670 | Dylan Reese Mccollough | Nurse Practitioner | 6582 Boll Weevil Cir, Enterprise, AL 36330-9424 | 2020-06-22 |
| Find all providers in ENTERPRISE | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750671665 | Anderson Physician Alliance, Inc. | Family Medicine | 83 Old Mill Creek Road, Enterprise, MS 39330-9649 | 2011-04-12 |
| 1528266392 | Lawrence Leonard Woods | Family Medicine | 107 Sw 1st St, Suite 104, Enterprise, OR 97828-1201 | 2007-07-03 |
| 1134130131 | David Nathaniel Arthur Ryan | Family Medicine | 1008 Boll Weevil Cir, Suite B, Enterprise, AL 36330-1312 | 2006-08-11 |
| 1083632244 | Mark Brian Ellis | Family Medicine | 1018 Rucker Blvd, Ste A, Enterprise, AL 36330-3675 | 2006-07-17 |
| 1134162092 | Lawrence Leonard Woods | Family Medicine | 107 Sw 1st St Ste 104, Enterprise, OR 97828-1285 | 2006-06-14 |
| 1124067632 | Walter J Lawrence | Family Medicine | 551 Glover Ave, Enterprise, AL 36330-2041 | 2006-06-06 |
| 1609821263 | Emily A Sheahan | Family Medicine | 616 W North St, Enterprise, OR 97828-1427 | 2006-05-23 |
| 1851349179 | Montgomery C Peden | Family Medicine | 101 Professional Lane, Enterprise, AL 36330 | 2006-05-05 |
| 1972575777 | Shean Eric Phelps | Family Medicine | 2 Cottage Ave, Enterprise, AL 36330-8552 | 2006-02-06 |
| 1710967500 | Howard Russell Cook | Family Medicine | 805 E Lee St, Ste C, Enterprise, AL 36330-2477 | 2006-01-18 |
| Find all providers in ENTERPRISE | ||||
| City | ENTERPRISE |
| Zip Code | 39330 |
Please comment or provide details below to improve the information on DR. CHARLES R. PURDY.
| 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.