Individual provider Active NPI

Anthony Martin Putnam, MD

  • Anesthesiology Physician
  • Tempe, AZ
National Provider Identifier
1285615914
Registry record updated Jul 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
26890 Issued in AZ
Practice address
2000 E Southern Ave
Suite 102
Tempe, AZ 85282-7510
Phone
(480) 820-9141
Fax
(480) 820-3785
NPI assigned
Nov 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2010

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 26890 AZ Primary

Addresses

Primary practice location

2000 E Southern Ave
Suite 102
Tempe, AZ 85282-7510

Mailing address

PO Box 22057
Tempe, AZ 85285-2057
Phone (480) 820-9141

Other identifiers 1

IdentifierTypeStateIssuer
436817MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101022000535 AZ Practitioner - Anesthesiology 3971796962 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Kansas School of Med (KC/Wich/Sal), 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone (209) 956-7732

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Apmd Anesthesia LLC Anesthesiology CurrentSince Sep 3, 2024 Accepting new patients
Anesthesia Partners of Arizona LLC Anesthesiology CurrentSince Apr 1, 2019 Accepting new patients

Locations

1500 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3578

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

4605 E Elwood St
Ste 500
Phoenix, AZ 85040
Phone (469) 998-7443

2000 E Southern Ave
Ste 102
Tempe, AZ 85282
Phone (480) 820-9141

Organizations & group practices 2

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": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280448000000",
    "number": "1285615914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22057",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852852057",
            "telephone_number": "480-820-9141",
            "fax_number": "480-820-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E SOUTHERN AVE",
            "address_2": "SUITE 102",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827510",
            "telephone_number": "480-820-9141",
            "fax_number": "480-820-3785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTNAM",
        "first_name": "ANTHONY",
        "middle_name": "MARTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2010-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "26890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "436817",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.