Anna Puzanov, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

018121 Issued in ME

Practice address

300 Main Street
Central Maine Medical Center - Pathology Department
Lewiston, ME 04240

Phone

(207) 795-2338

NPI assigned

Jan 4, 2008

Last updated

Aug 26, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alliance Physician Services of Michigan, P.C.

  dba Michigan Institute of Urology

  • Urology Physician
  • Grand Rapids, MI
  • NPI 1598865735
  Medicare reassignment NPD
• Pathology Laboratory, P.C.

  • Clinical Medical Laboratory
  • Grand Rapids, MI
  • NPI 1285618447

  Anatomic Pathology & Clinical Pathology

  Medicare reassignment NPD
• Urology Surgeons PC

  • Urology Physician
  • Grand Rapids, MI
  • NPI 1467561480
  Medicare reassignment NPD
• Urology Associates PC of Grand Rapids

  • Urology Physician
  • Grand Rapids, MI
  • NPI 1073536272
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251244800000",
    "number": "1033394416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1849",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042411849",
            "telephone_number": "207-784-2554",
            "fax_number": "207-777-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MAIN STREET",
            "address_2": "CENTRAL MAINE MEDICAL CENTER - PATHOLOGY DEPARTMENT",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "04240",
            "telephone_number": "207-795-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUZANOV",
        "first_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-04",
        "last_updated": "2009-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "ME",
            "license": "018121",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "ME",
            "license": "018121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dafina Pruthi, M.D.
• Deborah J Puckhaber, MD
• Alisha Pulkkinen
• Jessica C. Pulkkinen, LCSW
• Erica Pulsoni-Draper, CADC, MHRT/C
• Matthew G Pyenta, D.O.
• Qualit Community Care
• Quality Care LLC
• Quality Life Home Care LLC
• Catherine Davis Quick

• Anatomic Pathology & Clinical Pathology Physician in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Anatomic Pathology & Clinical Pathology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.