Putnam Pulmonary & Primary Care, PA

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

ME38708 Issued in FL

Legal business name

PUTNAM PULMONARY & PRIMARY CARE, PA

Doing business as

Putnam Pulmonary Practice

Practice address

414 Zeagler Dr
Palatka, FL 32177-3815

Phone

(386) 530-2749

Fax

(855) 313-6017

NPI assigned

Jul 6, 2006

Last updated

Nov 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donna Hersey Feibelman

Title

Clinical Manager

Phone

(386) 530-2749

Specialties & licenses 1

Addresses

Other names 1

• Putnam Pulmonary Practice Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Orlando Clinic for Asthmarespiratory Disease3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Orlando Clinic for Asthma&Respiratory Disease

  • Pulmonary Disease Physician
  • Palatka, FL
  • NPI 1174068118
  NPD tax ID
• Putnam Pulmonary & Primary Care, PA

  • Critical Care Medicine (Internal Medicine) Physician
  • Palatka, FL
  • NPI 1750825311
  NPD tax ID

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15233/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Y Feibelman, M.D.

  • Pulmonary Disease Physician
  • Palatka, FL
  • NPI 1891729562
  Medicare reassignment NPD
• Michelle Cassandra Martinez

  • Acute Care Nurse Practitioner
  • St Augustine, FL
  • NPI 1336864362
  NPD (past)
• Christian H Schadt, APRN

  • Family Nurse Practitioner
  • Daytona Beach, FL
  • NPI 1568077501
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1265463343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 ZEAGLER DR",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773815",
            "telephone_number": "386-530-2749",
            "fax_number": "855-313-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 ZEAGLER DR",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773815",
            "telephone_number": "386-530-2749",
            "fax_number": "855-313-6017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 W State Road 434",
            "address_2": "ST 201",
            "address_purpose": "LOCATION",
            "city": "Longwood",
            "state": "FL",
            "postal_code": "327504981",
            "country_code": "US",
            "telephone_number": "407-265-7775",
            "fax_number": "407-265-2266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PUTNAM PULMONARY & PRIMARY CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "FEIBELMAN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "HERSEY",
        "authorized_official_title_or_position": "CLINICAL MANAGER",
        "authorized_official_telephone_number": "386-530-2749"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME38708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Putnam Pulmonary Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Putnam Physician Practices LLC (Putnam Cardiovascular Associates)
• Putnam Physician Practices, LLC (Putnam Gi Associates)
• Putnam Physician Practices, LLC (Putnam Orthopaedic Associates)
• Putnam Physicians Group LLC
• Putnam Psychotherapy
• Putnam Pulmonary & Primary Care, PA
• Putnam Radiation Oncology LLC (HCA Florida Putnam Cancer Center)
• Putnam Surgical Group, LLC
• Julie Mangum Pybas, RN
• Quality Care Management of N Central Florida,LLC

• Pulmonary Disease Physician in Palatka, FL
• Providers in Palatka, FL by specialty
• Pulmonary Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.