Active NPI
Noel Courtney Putman, CRNA
- Certified Registered Nurse Anesthetist
- Salem, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 28150634A
- Practice address
- 911 N Shelby St
Salem, IN 47167-2304 - Phone
- (812) 883-5881
- NPI assigned
- Sep 14, 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 28150634A | IN | Primary |
Addresses
Primary practice location
911 N Shelby St
Salem, IN 47167-2304
Mailing address
8840 Commerce Park PL Ste E
Indianapolis, IN 46268-3129
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200357620 | Medicaid | IN | |
| 000000249975 | Other | IN | SIA ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
301 Henry St
North Vernon, IN 47265-1030
Phone (812) 352-4427
8433 Harcourt Rd
Suite 100
Indianapolis, IN 46260-2193
Phone (317) 583-7600
911 N Shelby St
Salem, IN 47167-2304
Phone (812) 883-5881
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincent Medical Group, Inc. | Current | Accepting new patients | |
| St. Vincent Medical Group, Inc. | Current | Accepting new patients | |
| St. Vincent Medical Group, Inc. | Current | Accepting new patients | |
| Southern Indiana Anesthesiology | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
2900 16th St
Bedford, IN 47421
Phone (812) 275-1200
8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702
1500 N Ritter Ave
Indianapolis, IN 46219
Phone (317) 355-5041
8840 Commerce Park Pl
Ste E
Indianapolis, IN 46268
Phone (317) 583-4420
250 W 96th St
#520
Indianapolis, IN 46260
Phone (317) 583-3331
301 Henry St
North Vernon, IN 47265
Phone (812) 352-4200
642 W Hospital Rd
Paoli, IN 47454
Phone (812) 723-2811
7820 S Voyles Rd
Pekin, IN 47165
Phone (812) 668-6316
500 W Votaw St
Portland, IN 47371
Phone (260) 726-6515
1401 Chester Blvd
Richmond, IN 47374
Phone (765) 983-3000
911 N Shelby St
Salem, IN 47167
Phone (812) 883-5881
Organizations & group practices 4
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.
-
dba Ascension Medical Group St. Vincent
- Orthopaedic Surgery Physician
- Winchester, IN
- NPI 1144513375
-
dba Ascension Medical Group St. Vincent
- Rural Health Clinic/Center
- North Vernon, IN
- NPI 1376816975
-
dba Ascension Medical Group St. Vincent
- Internal Medicine Physician
- Carmel, IN
- NPI 1811881527
-
- Anesthesiology Physician
- Bloomington, IN
- NPI 1548255615
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Salem, IN
- NPI 1427388982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416528000000",
"number": "1346235553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8840 COMMERCE PARK PL STE E",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462683129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 N SHELBY ST",
"city": "SALEM",
"state": "IN",
"postal_code": "471672304",
"telephone_number": "812-883-5881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUTMAN",
"first_name": "NOEL",
"middle_name": "COURTNEY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-14",
"last_updated": "2014-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28150634A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200357620",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIA ANTHEM",
"identifier": "000000249975",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salem, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.