Carrie Margaret Puckett, D.O.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

DO155470 Issued in OR

Practice address

3311 Riverbend Drive
Oregon Heart and Vascular Institute
Springfield, OR 97477

Phone

(541) 484-4332

Fax

(541) 242-6770

NPI assigned

Dec 1, 2008

Last updated

Sep 14, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1144475328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 SE 164TH AVE",
            "address_2": "DEPARTMENT 358",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 RIVERBEND DRIVE",
            "address_2": "OREGON HEART AND VASCULAR INSTITUTE",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "97477",
            "telephone_number": "541-484-4332",
            "fax_number": "541-242-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCKETT",
        "first_name": "CARRIE",
        "middle_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-01",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OR",
            "license": "DO155470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Propheter
• Providence Health & Services - Oregon (Providence Medical Group)
• Elisabeth Summer Provost
• Maria Victoria Pruyn
• Natalia Ema Puccinelli, PHARMD
• Joshua Dwayne Pugh, LMT
• Richard D Putnam, DMD
• Khola Qamar, M.D.
• Laura Qi
• Qualicenters Eugene-Springfield, LTD. (Fresenius Medical Care Springfield Oregon)

• Cardiovascular Disease Physician in Springfield, OR
• Providers in Springfield, OR by specialty
• Cardiovascular Disease Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.