NPIMap

Organization Active NPI

Putnam Physician Practices

Doing business as Putnam Neurology Associates

  • Neurology Physician
  • Palatka, FL
National Provider Identifier
1881962439
Registry record updated Dec 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
PUTNAM PHYSICIAN PRACTICES
Doing business as
Putnam Neurology Associates
Practice address
800 Zeagler Dr
Suite 230
Palatka, FL 32177-3883
Phone
(386) 326-7793
NPI assigned
Dec 11, 2011
Last updated
Dec 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2011

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

Authorized official

Name
Timothy D Vaughn
Title
Vice President
Phone
(615) 372-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X NU Primary

Addresses

Primary practice location

800 Zeagler Dr
Suite 230
Palatka, FL 32177-3883

Mailing address

800 Zeagler Dr
Suite 230
Palatka, FL 32177-3883
Phone (386) 326-7793

Other names 1

  • PUTNAM NEUROLOGY ASSOCIATES Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1323561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323561600000",
    "number": "1881962439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ZEAGLER DR",
            "address_2": "SUITE 230",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773883",
            "telephone_number": "386-326-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ZEAGLER DR",
            "address_2": "SUITE 230",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773883",
            "telephone_number": "386-326-7793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTNAM PHYSICIAN PRACTICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-11",
        "last_updated": "2011-12-11",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-372-8500"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PUTNAM NEUROLOGY ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palatka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2011; 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.