Provider Demographics
NPI:1063437978
Name:PURKEY, JANET L (MD)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:L
Last Name:PURKEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1924 ALCOA HIGHWAY BOX U114
Mailing Address - Street 2:DEPARTMENT OF MEDICINE
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-6999
Mailing Address - Country:US
Mailing Address - Phone:865-250-4523
Mailing Address - Fax:865-305-9144
Practice Address - Street 1:1924 ALCOA HIGHWAY
Practice Address - Street 2:UNIVERSITY OF TENNESSEE MEDICAL CENTER
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-6999
Practice Address - Country:US
Practice Address - Phone:865-305-9340
Practice Address - Fax:865-305-9144
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2012-01-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNMD20756174400000X
TNMD020756207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No174400000XOther Service ProvidersSpecialist
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1524697Medicaid
TN3057471Medicare ID - Type Unspecified
TNE67989Medicare UPIN
TN103I116033Medicare PIN