Victor Alekseyevich Puzevich, MD

Primary specialty

Children's HospitalTaxonomy code 282NC2000X

License

05944772

Practice address

1935 Medical District Drive
Neurosurgeons for Children
Dallas, TX 75235

Phone

(214) 456-6660

NPI assigned

Jun 22, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340323200000",
    "number": "1710240965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8507 CAPRICORN WAY UNIT 89",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921261878",
            "telephone_number": "858-635-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 MEDICAL DISTRICT DRIVE",
            "address_2": "NEUROSURGEONS FOR CHILDREN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75235",
            "telephone_number": "214-456-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUZEVICH",
        "first_name": "VICTOR",
        "middle_name": "ALEKSEYEVICH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": null,
            "license": "05944772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grant Putnam
• Hong Thi Putnam, PA
• Kathryn Putnam, RN
• Richard Dwight Putnam, CP, LP
• Divijani Dendi Puttagunta, MD
• Puzzle Piece Kids Pediatric Therapies, LLC
• John Edward Pyeatt, MD
• Hunter James Pyle
• Meredith Pyle
• Pyou'Re Life Behavioral Health and Wellness, LLC

• Children's Hospital in Dallas, TX
• Providers in Dallas, TX by specialty
• Children's Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; 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.