Justin Amar Putnam

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD471058 Issued in PA

Practice address

1001 S George St
York, PA 17403-3676

Phone

(717) 851-2450

NPI assigned

May 10, 2017

Last updated

Sep 10, 2020By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Emergency Medicine

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

York HospitalGroup PAC ID 2961307467, 94 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wellspan York Hospital Hospital, York, PA, CCN 390046

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• York Hospital

  • General Acute Care Hospital
  • York, PA
  • NPI 1326060492
  Medicare reassignment Care Compare group NPD
• York Hospital

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • York, PA
  • NPI 1114885480
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• York Hospital

  • General Acute Care Hospital
  • York, PA
  • NPI 1326060492
  Care Compare affiliation
• York Hospital

  dba York Hospital Community Health Center

  • Clinic/Center
  • York, PA
  • NPI 1497814040

  Hospital

  Care Compare affiliation
• York Hospital

  dba WellSpan York Hospital OB/GYN

  • Clinic/Center
  • York, PA
  • NPI 1609112036

  Hospital

  Care Compare affiliation
• York Hospital

  • Family Medicine Physician
  • York, PA
  • NPI 1881617132

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1336675438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-851-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S GEORGE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174033676",
            "telephone_number": "717-851-2450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 Forbes Ave",
            "address_2": "Forbes Tower - Plaza Suite 140",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152133410",
            "country_code": "US",
            "telephone_number": "412-647-6340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUTNAM",
        "first_name": "JUSTIN",
        "middle_name": "AMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD471058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurel Christine Pszcolka, CRNP
• Alex Daniel Pudenz, DO
• Jeffrey Puglese, D.D.S.
• Garima Purohit, DDS
• Elise Anne Purzycki, B.S.
• Sukumar Puvvala, MD
• Gary Loyall Pyner Jr.
• Pyramid Healthcare in.
• Pyramid Healthcare Inc.
• Pyramid Healthcare, Inc.

• Emergency Medicine Physician in York, PA
• Providers in York, PA by specialty
• Emergency Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.

Verify at the official NPI Registry.