Organization Active NPI

Michael S Puhl PC

  • Nurse Practitioner
  • Weatherford, TX
National Provider Identifier
1548715956
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
MICHAEL S PUHL PC
Practice address
110 Tiffany TRL
Weatherford, TX 76086-6606
Phone
(940) 284-3884
NPI assigned
Aug 16, 2016
Last updated
Aug 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

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

Authorized official

Name
Michael Puhl, NPNPI 1558314336
Title
Owner
Phone
(254) 396-0582

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU Primary

Addresses

Primary practice location

110 Tiffany TRL
Weatherford, TX 76086-6606

Mailing address

110 Tiffany TRL
Weatherford, TX 76086-6606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161031000252 TX Part B Supplier - Clinic/Group Practice 3375821184 Receives reassigned benefits from 1 practitioner
Practice locations: Weatherford, TX

National Provider Directory

National Provider Directory

Locations

8301 Lakeview Pkwy
Ste 111186
Rowlett, TX 75088

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471305600000",
    "number": "1548715956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 TIFFANY TRL",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760866606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 TIFFANY TRL",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760866606",
            "telephone_number": "940-284-3884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL S PUHL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-16",
        "last_updated": "2016-08-16",
        "status": "A",
        "authorized_official_last_name": "PUHL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-396-0582",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.