Putnam Surgical Group, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

PUTNAM SURGICAL GROUP, LLC

Practice address

414 Zeagler Dr
Palatka, FL 32177-3815

Phone

(386) 328-4123

Fax

(386) 328-4125

NPI assigned

Mar 12, 2015

Last updated

Mar 12, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Rodkey

Title

Vice President

Phone

(850) 523-3816

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

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.

• Carroll Niles Phillips II, DO

  • Surgery Physician
  • Palatka, FL
  • NPI 1427687102
  Medicare reassignment Care Compare group NPD
• Christopher Willard Vincent Salzman, M.D.

  • Surgery Physician
  • Palatka, FL
  • NPI 1679741524
  Medicare reassignment Care Compare group NPD
• David Christopher Cummings, MD

  • Surgery Physician
  • Sebring, FL
  • NPI 1881951804
  Medicare reassignment NPD
• Paulina Bellezza, PA-C

  • Physician Assistant
  • Plano, TX
  • NPI 1154867349

  FL

  Medicare reassignment

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426118400000",
    "number": "1760875934",
    "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": "386-328-4123",
            "fax_number": "386-328-4125"
        },
        {
            "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": "386-328-4123",
            "fax_number": "386-328-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTNAM SURGICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-12",
        "last_updated": "2015-03-12",
        "status": "A",
        "authorized_official_last_name": "RODKEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "850-523-3816"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Putnam Physicians Group LLC
• Putnam Psychotherapy
• Putnam Pulmonary & Primary Care, PA (Putnam Pulmonary Practice)
• Putnam Pulmonary & Primary Care, PA
• Putnam Radiation Oncology LLC (HCA Florida Putnam Cancer Center)
• Julie Mangum Pybas, RN
• Quality Care Management of N Central Florida,LLC
• Camille Quiles, PHARMD.
• Satish Ravi, M.D
• Cindie L Raybon, M.D.

• Surgery Physician in Palatka, FL
• Providers in Palatka, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.