Putnam Medical Group Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PUTNAM MEDICAL GROUP INC

Practice address

3701 Suite B Teays Valley Rd
Hurricane, WV 25526

Phone

(304) 760-6040

Fax

(304) 760-6042

NPI assigned

Apr 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Clinton William Sloan, DO

Title

Owner of Practice Putnam Medical GR

Phone

(304) 760-6040

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093935199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 SUITE B TEAYS VALLEY RD",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "25526",
            "telephone_number": "304-760-6040",
            "fax_number": "304-760-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 SUITE B TEAYS VALLEY RD",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "25526",
            "telephone_number": "304-760-6040",
            "fax_number": "304-760-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTNAM MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SLOAN",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER OF PRACTICE PUTNAM MEDICAL GR",
        "authorized_official_telephone_number": "304-760-6040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0074222000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emma Pruzan, PHARMD
• Vickie Hinzman Pullins
• Putnam Care and Rehabilitation
• Putnam Chiropractic Center
• Putnam Family Practice Associates Inc.
• Ty Danielle Quentrill, LPN
• Andrew McCaskey Quinlan, LAT, ATC
• Brent Thompson Race
• Jessica D Raines
• Ann Marie Ramey

• Internal Medicine Physician in Hurricane, WV
• Providers in Hurricane, WV by specialty
• Internal Medicine Physician in West Virginia

• 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.