Putnam Physician Practices LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

PUTNAM PHYSICIAN PRACTICES LLC

Doing business as

Orthopedics and Sports Specialists of Putnam

Practice address

3314 Crill Ave
Palatka, FL 32177-4162

Phone

(386) 328-4242

Fax

(386) 328-4244

NPI assigned

Nov 16, 2009

Last updated

Dec 2, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Timothy D Vaughn

Title

Vice President

Phone

(615) 372-8508

Specialties & licenses 1

Addresses

Other names 1

• ORTHOPEDICS AND SPORTS SPECIALISTS OF PUTNAM Doing business as

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259712000000",
    "number": "1508193327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3314 CRILL AVE",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321774162",
            "telephone_number": "386-328-4242",
            "fax_number": "386-328-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3314 CRILL AVE",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321774162",
            "telephone_number": "386-328-4242",
            "fax_number": "386-328-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTNAM PHYSICIAN PRACTICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-16",
        "last_updated": "2009-12-02",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-372-8508"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ORTHOPEDICS AND SPORTS SPECIALISTS OF PUTNAM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Putnam Imaging Center, LLC
• Putnam Neurology Group, Inc.
• Putnam Obstetrics and Gynecology PA
• Putnam Physician Practices (Putnam Neurology Associates)
• Putnam Physician Practices LLC (Putnam Surgical Associates)
• Putnam Physician Practices LLC (Putnam Cardiovascular Associates)
• Putnam Physician Practices, LLC (Putnam Gi Associates)
• Putnam Physician Practices, LLC (Putnam Orthopaedic Associates)
• Putnam Physicians Group LLC
• Putnam Psychotherapy

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; 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.