Matthew B Puleo, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2923 Issued in AZ

Practice address

2222 E Highland Ave
Suite 300
Phoenix, AZ 85016-4872

Phone

(602) 277-6211

Fax

(866) 242-5309

NPI assigned

May 11, 2006

Last updated

Jul 19, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374192000000",
    "number": "1265482251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 E HIGHLAND AVE",
            "address_2": "SUITE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164872",
            "telephone_number": "602-277-6211",
            "fax_number": "866-242-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 E HIGHLAND AVE",
            "address_2": "SUITE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164872",
            "telephone_number": "602-277-6211",
            "fax_number": "866-242-5309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULEO",
        "first_name": "MATTHEW",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2013-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "2923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "2923",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093164",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Pugliese, FNP-C
• Susan Puglisi, PHARMD
• Paul Edwin Pugsley, M.D.
• Marius Puha, DMD
• Giavanna Marie Puleo
• Phillip Mark Puleo
• Christopher Steele Pulford, DO
• Tracy Elizabeth Pullen, BCBA, LBA
• Brent D Pulley, D.M.D., LTD
• Deron Davies Pulley, FNP-C

• Medical Physician Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; 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.