Individual provider Active NPI

Maria Regina Puno, MD

  • Anesthesiology Physician
  • Prospect, KY
National Provider Identifier
1245659655
Registry record updated Sep 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
26052 Issued in KY
Practice address
5956 Timber Ridge Dr Ste 101
Prospect, KY 40059-8147
Phone
(502) 821-5269
Fax
(502) 214-5919
NPI assigned
Apr 14, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 26052 KY Primary

Addresses

Primary practice location

5956 Timber Ridge Dr Ste 101
Prospect, KY 40059-8147

Mailing address

5956 Timber Ridge Dr Ste 101
Prospect, KY 40059-8147
Phone (502) 821-5269

Other identifiers 1

IdentifierTypeStateIssuer
64260524MedicaidKY

Other names 1

  • Dr. M Regina B Puno Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26052KYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates of Louisville, PSC Anesthesiology Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506470400000",
    "number": "1245659655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5956 TIMBER RIDGE DR STE 101",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400598147",
            "telephone_number": "502-821-5269",
            "fax_number": "502-214-5919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5956 TIMBER RIDGE DR STE 101",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400598147",
            "telephone_number": "502-821-5269",
            "fax_number": "502-214-5919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUNO",
        "first_name": "MARIA",
        "middle_name": "REGINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-14",
        "last_updated": "2017-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KY",
            "license": "26052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64260524",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M REGINA",
            "last_name": "PUNO",
            "middle_name": "B",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Prospect, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2017; 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.