Active NPI
Michael Lee Putman, MD
- Internal Medicine Physician
- Decatur, AL
National Provider Identifier
1750492369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 7947
- Practice address
- 1874 Beltline Rd SW
Decatur, AL 35601-5514 - Phone
- (256) 350-0798
- Fax
- (256) 350-6466
- NPI assigned
- Aug 31, 2006
- Last updated
- Jun 12, 2012
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 7947 | AL | Primary |
Addresses
Primary practice location
1874 Beltline Rd SW
Decatur, AL 35601-5514
Mailing address
PO Box 5749
Decatur, AL 35601-0749
Phone (256) 350-0798
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51004302 | Other | AL | BCBS OF ALABAMA |
| 630799536 | Other | AL | CHAMPUS/TRICARE |
| 000004302 | Medicaid | AL | |
| 4385266 | Other | AL | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7947 | AL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Decatur Morgan Primary Care | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Decatur, AL
- NPI 1336286541
-
- Family Medicine Physician
- Decatur, AL
- NPI 1669889895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339459200000",
"number": "1750492369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5749",
"city": "DECATUR",
"state": "AL",
"postal_code": "356010749",
"telephone_number": "256-350-0798",
"fax_number": "256-350-6466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1874 BELTLINE RD SW",
"city": "DECATUR",
"state": "AL",
"postal_code": "356015514",
"telephone_number": "256-350-0798",
"fax_number": "256-350-6466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUTMAN",
"first_name": "MICHAEL",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2012-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "7947",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF ALABAMA",
"identifier": "51004302",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS/TRICARE",
"identifier": "630799536",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000004302",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4385266",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
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- Pure Heart Home Care of Alabama, LLC
- Kristine Lynea Putman, C.R.N.P.
- Cristine K Pyle, SLP
- Raphael K Quansah, M.D
- Quest Diagnostics Clinical Laboratories Inc
- R&R Grouphomes Inc
- Hayley Rabbit
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.