Active NPI
Lillian Dolores Puma, DO
- Family Medicine Physician
- Scottsdale, AZ
National Provider Identifier
1386261386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2836
- Practice address
- 6349 E Joan de Arc Ave
Scottsdale, AZ 85254-3834 - Phone
- (602) 657-6759
- Fax
- (480) 998-7706
- NPI assigned
- Jun 25, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2836 | AZ | Primary |
Addresses
Primary practice location
6349 E Joan de Arc Ave
Scottsdale, AZ 85254-3834
Mailing address
6349 E Joan de Arc Ave
Scottsdale, AZ 85254-3834
Phone (602) 657-6759
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2836 | AZ | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593043200000",
"number": "1386261386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6349 E JOAN DE ARC AVE",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852543834",
"telephone_number": "602-657-6759",
"fax_number": "480-998-7706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6349 E JOAN DE ARC AVE",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852543834",
"telephone_number": "602-657-6759",
"fax_number": "480-998-7706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUMA",
"first_name": "LILLIAN",
"middle_name": "DOLORES",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-25",
"last_updated": "2020-06-25",
"certification_date": "2020-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "2836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.