Healthcare Provider Details

I. General information

NPI: 1578415329
Provider Name (Legal Business Name): MICHAEL JAMES PURCELL RRT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2026
Last Update Date: 02/13/2026
Certification Date: 02/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE
CLEVELAND OH
44195-0001
US

IV. Provider business mailing address

3585 INGLESIDE RD
SHAKER HEIGHTS OH
44122-5001
US

V. Phone/Fax

Practice location:
  • Phone: 806-224-3833
  • Fax:
Mailing address:
  • Phone: 806-224-3833
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2279C0205X
TaxonomyCritical Care Registered Respiratory Therapist
License Number14575
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: