Organization Active NPI

Michael R. Puumala, M.D.,P.C.

Doing business as Puumala Neurosurgery

  • Specialist
  • Sioux Falls, SD
National Provider Identifier
1093833840
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4116 Issued in SD
Legal business name
MICHAEL R. PUUMALA, M.D.,P.C.
Doing business as
Puumala Neurosurgery
Practice address
911 E 20TH St
Suite 400
Sioux Falls, SD 57105-1042
Phone
(605) 322-8860
NPI assigned
Mar 27, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Edith Jorgensen
Title
Office Manager
Phone
(605) 322-8860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4116 SD Primary

Addresses

Primary practice location

911 E 20TH St
Suite 400
Sioux Falls, SD 57105-1042

Mailing address

911 E 20TH St
Suite 400
Sioux Falls, SD 57105-1042
Phone (605) 322-8860

Other identifiers 1

IdentifierTypeStateIssuer
6100472MedicaidSD

Other names 1

  • Puumala Neurosurgery Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093833840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 E 20TH ST",
            "address_2": "SUITE 400",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051042",
            "telephone_number": "605-322-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 E 20TH ST",
            "address_2": "SUITE 400",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051042",
            "telephone_number": "605-322-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL R. PUUMALA, M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JORGENSEN",
        "authorized_official_first_name": "EDITH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "605-322-8860"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SD",
            "license": "4116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6100472",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Puumala Neurosurgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.