NPIMap

Organization Active NPI

Putnam Physician Practices LLC

  • Cardiovascular Disease Physician
  • Palatka, FL
National Provider Identifier
1992023741
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
PUTNAM PHYSICIAN PRACTICES LLC
Practice address
3314 Crill Ave
Suite 1a
Palatka, FL 32177-4162
Phone
(386) 328-4237
Fax
(386) 328-4252
NPI assigned
May 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2010

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) 372-8508

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

3314 Crill Ave
Suite 1a
Palatka, FL 32177-4162

Mailing address

3314 Crill Ave
Suite 1a
Palatka, FL 32177-4162
Phone (386) 328-4237

Other names 1

  • PUTNAM CARDIOVASCULAR 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": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1992023741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3314 CRILL AVE",
            "address_2": "SUITE 1A",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321774162",
            "telephone_number": "386-328-4237",
            "fax_number": "386-328-4252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3314 CRILL AVE",
            "address_2": "SUITE 1A",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321774162",
            "telephone_number": "386-328-4237",
            "fax_number": "386-328-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTNAM PHYSICIAN PRACTICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2010-05-05",
        "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": "615-372-8508"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PUTNAM CARDIOVASCULAR 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 May 5, 2010; 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.