Individual provider Active NPI

Ellen Anne Puleo, MD

  • Obstetrics & Gynecology Physician
  • Pinehurst, NC
National Provider Identifier
1063560712
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25943 Issued in NC
Practice address
70 Memorial Drive
Pinehurst, NC 28374-8707
Phone
(910) 295-4342
Fax
(910) 295-1165
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25943 NC Primary

Addresses

Primary practice location

70 Memorial Drive
Pinehurst, NC 28374-8707

Mailing address

70 Memorial Drive
Pinehurst, NC 28374-8707
Phone (910) 295-4342

Other identifiers 1

IdentifierTypeStateIssuer
8969462MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110504000448 NC Practitioner - Obstetrics/Gynecology 9335328103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Duke University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinehurst Womens Clinic PAGroup PAC ID 2466631239, 2 clinicians

Practice addresses (Care Compare)

70 Memorial Dr
Pinehurst, NC 28374-8707
Phone (910) 295-4342

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25943NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pinehurst Womens Clinic PA Obstetrics & Gynecology CurrentSince Jan 1, 2003 Accepting new patients
Recon Neurology & Psychiatry CurrentSince Mar 10, 2026 Accepting new patients

Locations

70 Memorial Dr
Pinehurst, NC 28374
Phone (910) 295-4342

125 Biltmore Dr
Ste 3
Rockingham, NC 28379
Phone (910) 410-9494

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBCJCD

Organizations & group practices 2

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1063560712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 MEMORIAL DRIVE",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748707",
            "telephone_number": "910-295-4342",
            "fax_number": "910-295-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MEMORIAL DRIVE",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748707",
            "telephone_number": "910-295-4342",
            "fax_number": "910-295-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULEO",
        "first_name": "ELLEN",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "25943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8969462",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

Verify at the official NPI Registry.