Jennifer Robin Putnam, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

2115 Issued in OK

Practice address

1342 S Douglas Blvd
Suite a
Midwest City, OK 73130-5215

Phone

(405) 455-3322

Fax

(405) 455-3358

NPI assigned

Sep 17, 2009

Sex

Female

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 1

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Loma Linda University School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neuroscience Specialists PCGroup PAC ID 3375456718, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Oklahoma Spine Hospital Hospital, Oklahoma City, OK, CCN 370206

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Neuroscience Specialists PC

  • Neurological Surgery Physician
  • Oklahoma City, OK
  • NPI 1548239494
  Medicare reassignment Care Compare group

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

• Oklahoma Spine Hospital LLC

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1699745893
  Care Compare affiliation

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1366775611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SW 89TH ST",
            "address_2": "STE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731398534",
            "telephone_number": "405-455-3322",
            "fax_number": "405-606-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1342 S DOUGLAS BLVD",
            "address_2": "SUITE A",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731305215",
            "telephone_number": "405-455-3322",
            "fax_number": "405-455-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTNAM",
        "first_name": "JENNIFER",
        "middle_name": "ROBIN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-17",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OK",
            "license": "2115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP TAX-ID",
            "identifier": "208362023",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Earl Pruitt, APRN-CNP
• Michael N Pryor
• Ganga M Pujari, MD
• Pulmonary & Sleep Medicine Assoc PC
• Jayci L Purvis, PA-C
• Quality Occupational Therapy
• Quality Physical Therapy, PC
• Quality Therapy Center LLC
• Quality Therapy LLC
• Tymothy Alan Quigg, RBT

• Surgical Physician Assistant in Midwest City, OK
• Providers in Midwest City, OK by specialty
• Surgical Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.