Individual provider Active NPI

John Leslie Putnam, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Springfield, MO
National Provider Identifier
1871569111
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
R6H15 Issued in MO
Practice address
4350 S National Ave
Suite C200
Springfield, MO 65810-2607
Phone
(417) 447-1000
Fax
(417) 447-6150
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X R6H15 MO Primary

Addresses

Primary practice location

4350 S National Ave
Suite C200
Springfield, MO 65810-2607

Mailing address

4350 S National Ave
Suite C200
Springfield, MO 65810-2607
Phone (417) 447-1000

Other identifiers 1

IdentifierTypeStateIssuer
202509428MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050228000516 MO Practitioner - Orthopedic Surgery 5597718734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Oklahoma College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3430 S National Ave
Springfield, MO 65807-7346
Phone (417) 447-1000

4350 S National Ave
Springfield, MO 65810-2782

4350 S National Ave
C200
Springfield, MO 65810-2607

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Putnam Orthopaedic Center, LLC CurrentSince Feb 1, 2005 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

4350 S National Ave
Ste C200
Springfield, MO 65810
Phone (417) 447-1000

Interoperability endpoints

  • Direct secure messaging: john.putnam@cernerdirect.coxhealth.com

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353369600000",
    "number": "1871569111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 S NATIONAL AVE",
            "address_2": "SUITE C200",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658102607",
            "telephone_number": "417-447-1000",
            "fax_number": "417-447-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 S NATIONAL AVE",
            "address_2": "SUITE C200",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658102607",
            "telephone_number": "417-447-1000",
            "fax_number": "417-447-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTNAM",
        "first_name": "JOHN",
        "middle_name": "LESLIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2012-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MO",
            "license": "R6H15",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202509428",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.