Putnam Pulmonary & Primary Care, PA

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

License

ME38708 Issued in FL

Legal business name

PUTNAM PULMONARY & PRIMARY CARE, PA

Practice address

414 Zeagler Dr
Palatka, FL 32177-3815

Phone

(386) 530-2749

Fax

(855) 313-6017

NPI assigned

Dec 15, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Donna H Feibelman, LPN

Title

Office/Clinical Manager

Phone

(386) 530-2749

Specialties & licenses 1

Addresses

Other names 1

• Putnam Medical Practice Other name

Tax ID family

Orlando Clinic for Asthmarespiratory Disease3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Orlando Clinic for Asthma&Respiratory Disease

  • Pulmonary Disease Physician
  • Palatka, FL
  • NPI 1174068118
  NPD tax ID
• Putnam Pulmonary & Primary Care, PA

  • Pulmonary Disease Physician
  • Palatka, FL
  • NPI 1265463343
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Y Feibelman, M.D.

  • Pulmonary Disease Physician
  • Palatka, FL
  • NPI 1891729562

  Critical Care Medicine

  NPD (past)

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1750825311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 ZEAGLER DR",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773815",
            "telephone_number": "386-530-2749",
            "fax_number": "855-313-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 ZEAGLER DR",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773815",
            "telephone_number": "386-530-2749",
            "fax_number": "855-313-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTNAM PULMONARY & PRIMARY CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-15",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "FEIBELMAN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OFFICE/CLINICAL MANAGER",
        "authorized_official_telephone_number": "386-530-2749",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME38708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Putnam Medical Practice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Putnam Physician Practices, LLC
• Putnam Physician Practices, LLC
• Putnam Physicians Group LLC
• Putnam Psychotherapy
• Putnam Pulmonary & Primary Care, PA
• Putnam Radiation Oncology LLC
• Putnam Surgical Group, LLC
• Julie Mangum Pybas, RN
• Quality Care Management of N Central Florida,LLC
• Camille Quiles, PHARMD.

• Critical Care Medicine (Internal Medicine) Physician in Palatka, FL
• Providers in Palatka, FL by specialty
• Critical Care Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.