Gerald Roman Putzer, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

APN.0000569 Issued in CO

Practice address

833 Sell Ave
Canon City, CO 81212-4523

Phone

(719) 275-6433

NPI assigned

Apr 9, 2007

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453334400000",
    "number": "1174646566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1736 ELM AVE",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812124523",
            "telephone_number": "719-276-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 SELL AVE",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812124523",
            "telephone_number": "719-275-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTZER",
        "first_name": "GERALD",
        "middle_name": "ROMAN",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2016-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "79626",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "APN.0000569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Poudre Valley Medical Group, LLC (UCHealth Medical Group)
• Sarah Marie Pridemore, PTA
• Pueblo Radiological Group, P.C.
• Pueblo Radiological Group, P.C.
• Pueblo Radiological Group, P.C.
• Steven Quakenbush, PA
• Qualicenters Pueblo, LLC (Fresenius Medical Care Canon City Dialysis)
• Margaret Anne Rabel, DMD
• Tracey Rafuse, FNP-C
• Ryan S Rahman, M.D.

• Certified Registered Nurse Anesthetist in Canon City, CO
• Providers in Canon City, CO by specialty
• Certified Registered Nurse Anesthetist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.