Putnam Physician Practices LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

PUTNAM PHYSICIAN PRACTICES LLC

Doing business as

Putnam Surgical Associates

Practice address

414 Zeagler Dr
Palatka, FL 32177-3815

Phone

(386) 328-4123

Fax

(386) 328-4125

NPI assigned

Jul 31, 2008

Organization subpart

No

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

Authorized official

Name

Jess Judy

Title

President

Phone

(615) 372-8500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Putnam Surgical Associates Doing business as

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276473600000",
    "number": "1457517203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 ZEAGLER DR",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773815",
            "telephone_number": "386-328-4123",
            "fax_number": "386-328-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 ZEAGLER DR",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773815",
            "telephone_number": "386-328-4123",
            "fax_number": "386-328-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTNAM PHYSICIAN PRACTICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2010-06-14",
        "status": "A",
        "authorized_official_last_name": "JUDY",
        "authorized_official_first_name": "JESS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-372-8500"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "BL990A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Putnam Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Putnam Physicians Group LLC

• Surgery Physician in Palatka, FL
• Providers in Palatka, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.