Basic Information
| Provider Information | |||||||||
| NPI: | 1932245990 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PURINTON | ||||||||
| FirstName: | SCOTT | ||||||||
| MiddleName: | CHRISTOPHER | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | M.D., PH.D. | ||||||||
| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 100 N ACADEMY AVE | ||||||||
| Address2: | |||||||||
| City: | DANVILLE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 178224903 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5702716144 | ||||||||
| FaxNumber: | 5702716578 | ||||||||
| Practice Location | |||||||||
| Address1: | 100 N ACADEMY AVE | ||||||||
| Address2: | |||||||||
| City: | DANVILLE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 178225671 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5702716298 | ||||||||
| FaxNumber: | 5702715841 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/29/2007 | ||||||||
| LastUpdateDate: | 08/28/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| AuthorizedOfficialTitleorPosition: | |||||||||
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| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
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| NPICertificationDate: | 08/28/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207VX0201X | MD461474 | PA | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Gynecologic Oncology |
ID Information
| ID | Type | State | Issuer | Description | 003110827D | 05 | GA | MEDICAID | 003110827F | 05 | GA | MEDICAID | 003110827G | 05 | GA | MEDICAID | P00964242 | 01 | GA | RAILROAD MEDICARE | OTHER | P01049775 | 01 | SC | RAILROAD MEDICARE | OTHER | P01140050 | 01 | SC | RAILROAD MEDICARE | OTHER | 003110827E | 05 | GA | MEDICAID | P01099500 | 01 | GA | RAILROAD MEDICARE | OTHER | 003110827A | 05 | GA | MEDICAID | GA1237 | 05 | SC | MEDICAID |