David M Puckett, LPO/CPO

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

000028 Issued in GA

Practice address

5206 Waters Ave
Savannah, GA 31404-6230

Phone

(912) 354-7500

Fax

(912) 354-7887

NPI assigned

Feb 29, 2008

Last updated

Feb 29, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Positive Image Prosthetics & Orthotics, Inc.

  • Prosthetic/Orthotic Supplier
  • Savannah, GA
  • NPI 1235194341
  NPD Authorized official
• Positive Image Prosthetics & Orthotics, Inc

  • Prosthetic/Orthotic Supplier
  • Hardeeville, SC
  • NPI 1457593790
  Authorized official Same address or phone
• Positive Image Prosthetics & Orthotics, Inc

  dba Hanger Clinic

  • Prosthetic/Orthotic Supplier
  • Hinesville, GA
  • NPI 1346667763
  NPD

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1972772325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5202 WATERS AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046230",
            "telephone_number": "912-354-7500",
            "fax_number": "912-357-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5206 WATERS AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046230",
            "telephone_number": "912-354-7500",
            "fax_number": "912-354-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCKETT",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "LPO/CPO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "GA",
            "license": "000028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• David Pudalov, MD
• Amanda Christine Puentes, M.D.
• Charles Marion Pugh Jr., MD
• Priya Pujara, M.D.
• James Brian Purdie, M.D.

• Prosthetic/Orthotic Supplier in Savannah, GA
• Providers in Savannah, GA by specialty
• Prosthetic/Orthotic Supplier in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.