Active NPI
Putnam Physicians Group, LLC
- Urology Physician
- Gainesville, FL
National Provider Identifier
1811368459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- ME76357
- Legal business name
- PUTNAM PHYSICIANS GROUP, LLC
- Practice address
- 3426 NW 43Rd St
Suite B
Gainesville, FL 32606-8156 - Phone
- (352) 338-2089
- NPI assigned
- Oct 8, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Perinchery Narayan, M.D.
- Title
- President
- Phone
- (352) 338-2089
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME54477 | FL | |
| Internal Medicine Physician | 207R00000X | ME64833 | FL | |
| Gastroenterology Physician | 207RG0100X | ME81873 | FL | |
| Pulmonary Disease Physician | 207RP1001X | ME54534 | FL | |
| Urology Physician | 208800000X | ME76357 | FL | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO2829 | FL | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO2712 | FL | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO2627 | FL |
Addresses
Primary practice location
3426 NW 43Rd St
Suite B
Gainesville, FL 32606-8156
Mailing address
3426 NW 43Rd St
Suite B
Gainesville, FL 32606-8156
National Provider Directory
National Provider Directory- Tax ID family
- Putnam Physicians Group LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Urology Physician
- Palatka, FL
- NPI 1952772089
Locations
3426 NW 43rd St
Ste B
Gainesville, FL 32606
Phone (352) 338-2089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1444262400000",
"number": "1811368459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3426 NW 43RD ST",
"address_2": "SUITE B",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326068156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3426 NW 43RD ST",
"address_2": "SUITE B",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326068156",
"telephone_number": "352-338-2089"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PUTNAM PHYSICIANS GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-08",
"last_updated": "2015-10-08",
"status": "A",
"authorized_official_last_name": "NARAYAN",
"authorized_official_first_name": "PERINCHERY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "352-338-2089",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME54477",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME64833",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME81873",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME54534",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": "FL",
"license": "ME76357",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO2829",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO2712",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO2627",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.