J C PURNELL MD SC


Address: 401 E Water Street, Pontiac, IL 61764-0470
Phone: 8158421166

J C PURNELL MD SC (NPI# 1457426363) 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) 1457426363
Entity Type Organization
Organization Name J C PURNELL MD SC
Practice Address 401 E Water Street
Pontiac
IL 61764-0470
Mailing Address Po Box 470
Pontiac
IL 61764-0470
Practice Telephone 8158421166
Practice Fax Number 8158445968
Mailing Telephone 8158421166
Mailing Fax Number 8158445968
Enumeration Date 2006-11-24
Last Update Date 2007-10-05
Authorized Official Name DR. JOHN C PURNELL (OWNER)
Authorized Official Telephone 8158421166
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL BCBS 05300058 01

Office Location

Street Address 401 E WATER STREET
City PONTIAC
State IL
Zip Code 61764-0470

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497165211 Barbara Kay Browning Counselor 310 E. Torrance Ave, Pontiac, IL 61764 2014-05-01
1407287121 Institute for Human Resources of Livingston County, Il Community/Behavioral Health 301 E Torrance Ave, Pontiac, IL 61764 2013-12-05
1982031241 Annette G Franzen Psychologist 700 W Lincoln St # 406, Pontiac, IL 61764 2013-10-02
1871739185 Woodridge of Ponitac LLC Assisted Living Facility 120 North Deerfield Road, Pontiac, IL 61764 2008-12-17
1861601171 William Earl Hammond Chiropractor 210b Ladd, Pontiac, IL 61764 2007-05-22
1932259983 Amy Duffy Counselor 210 W Water St Ste 1, Pontiac, IL 61764 2007-01-11
1326123340 Highland Park Cvs, L.L.C. Durable Medical Equipment & Medical Supplies 1034 W. Reynolds Street, Pontiac, IL 61764 2006-10-26
1205932977 Gary Merl Leverton Dentist 518 West Madison St, Pontiac, IL 61764 2006-09-16
1891899886 Robert E Heins Family Medicine 520 West Madison, Madison Street Clinic PC, Pontiac, IL 61764 2006-09-11
1710081708 Kenneth N Jordan Family Medicine 520 West Madison Street, Madison Street Clinic PC, Pontiac, IL 61764 2006-09-11
Find all providers in zip 61764

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578163465 Salta of Auburn Hills Family Medicine 2191 S South Blvd, Suite 101c, Pontiac, MI 48326-3481 2020-10-29
1366936742 Xiao Ji Chen Family Medicine 461 West Huron St Suite 107 Admin, Pontiac, MI 48341 2018-06-19
1396248464 Amber Kay Jones Family Medicine 2500 W Reynolds St Ste 207, Pontiac, IL 61764-9774 2018-03-14
1619423225 Mariam Haq Family Medicine 461 W Huron St., Pontiac, MI 48341 2016-09-01
1811349079 Divjot Minhas Family Medicine 145 Seminole St, Pontiac, MI 48341-1641 2016-07-11
1750579660 John C Purnell Family Medicine 401 E Water St, Pontiac, IL 61764-2023 2007-10-05
1518189786 Madison Street Clinic P.C. Family Medicine 520 W Madison St, Pontiac, IL 61764-1729 2007-05-03
1619199171 Jann E. Trzeciak Family Medicine 1915 N Perrt Street, Pontiac, MI 48340 2007-05-03
1881740579 Philip S. Durocher Family Medicine 1201 N Telegraph Rd, Oakland County Jail, Pontiac, MI 48341-1029 2007-01-26
1891899886 Robert E Heins Family Medicine 520 West Madison, Madison Street Clinic PC, Pontiac, IL 61764 2006-09-11
Find all providers in PONTIAC

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City PONTIAC
Zip Code 61764

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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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