Active NPI
Anthony Martin Putnam, MD
- Anesthesiology Physician
- Tempe, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 26890
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 436817 | Medicaid | AZ |
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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apmd Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Anesthesia Partners of Arizona LLC | Anesthesiology | Current | 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.
-
- Anesthesiology Physician
- Mesa, AZ
- NPI 1851126122
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.