Individual provider Active NPI

Julie Puzzo, DO

  • Emergency Medicine Physician
  • Fayetteville, NC
National Provider Identifier
1447740675
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2021-03000 Issued in NC
Practice address
1638 Owen Dr # 138
Fayetteville, NC 28304-3424
Phone
(910) 615-5095
Fax
(910) 615-9872
NPI assigned
May 14, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X 2021-03000 NC Primary

Addresses

Primary practice location

1638 Owen Dr # 138
Fayetteville, NC 28304-3424

Mailing address

1638 Owen Dr # 138
Fayetteville, NC 28304-3424
Phone (910) 615-5095

Other names 1

  • Dr. Julie Aldrich Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220114000574 NC Practitioner - Emergency Medicine 5193074797 Reassigns benefits to 1 organization
I20220512001509 CA Practitioner - Emergency Medicine 5193074797 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Campbell Univ School of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santa Ana Physicians Group PCGroup PAC ID 9234455015, 16 clinicians

Practice addresses (Care Compare)

47111 Monroe St
Indio, CA 92201-6739
Phone (760) 347-6191

Hospital & facility affiliations

  • John F Kennedy Memorial Hospital Hospital, Indio, CA, CCN 050534

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
The Carolinas Emergency Group, PLLC Multi-Specialty CurrentSince Feb 1, 2022 Accepting new patients
Santa Ana Physicians Group, PC Multi-Specialty CurrentSince Apr 15, 2022 Accepting new patients

Locations

47111 Monroe St
Indio, CA 92201
Phone (760) 347-6191

800 Tilghman Dr
Dunn, NC 28334
Phone (910) 230-7800

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1447740675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1638 OWEN DR # 138",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043424",
            "telephone_number": "910-615-5095",
            "fax_number": "910-615-9872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638 OWEN DR # 138",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043424",
            "telephone_number": "910-615-5095",
            "fax_number": "910-615-9872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUZZO",
        "first_name": "JULIE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2021-03000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "ALDRICH",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.