Active NPI
Houston Paul Putman III, MD
- Psychiatry Physician
- Austin, TX
National Provider Identifier
1720071087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G3709
- Practice address
- 1114 Lost Creek Blvd
Suite 275
Austin, TX 78746-6300 - Phone
- (512) 329-6777
- Fax
- (512) 329-5556
- NPI assigned
- Aug 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G3709 | TX | Primary |
Addresses
Primary practice location
1114 Lost Creek Blvd
Suite 275
Austin, TX 78746-6300
Mailing address
1114 Lost Creek Blvd
Suite 275
Austin, TX 78746-6300
Phone (512) 329-6777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PO81J3938 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2014 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Diagnostic Clinic, PA | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Ambulatory Surgical Clinic/Center
- Austin, TX
- NPI 1619923950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720071087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1114 LOST CREEK BLVD",
"address_2": "SUITE 275",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787466300",
"telephone_number": "512-329-6777",
"fax_number": "512-329-5556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1114 LOST CREEK BLVD",
"address_2": "SUITE 275",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787466300",
"telephone_number": "512-329-6777",
"fax_number": "512-329-5556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUTMAN",
"first_name": "HOUSTON",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "G3709",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PO81J3938",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.