MICHAEL L PUCKETT


Address: 8745 Aero Dr, Suite 200, San Diego, CA 92123-1774
Phone: 8585650950

MICHAEL L PUCKETT (NPI# 1043284235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043284235
Entity Type Individual
Full Name MICHAEL L PUCKETT
Credential MD
Practice Address 8745 Aero Dr
Suite 200
San Diego
CA 92123-1774
Mailing Address Po Box 23540
San Diego
CA 92193-3540
Practice Telephone 8585650950
Practice Fax Number 8582441100
Mailing Telephone 8585650950
Mailing Fax Number 8582441100
Enumeration Date 2006-02-14
Last Update Date 2007-10-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085B0100X Radiology
Specialization: Body Imaging
G64723 CA Allopathic & Osteopathic Physicians
N 2085N0700X Radiology
Specialization: Neuroradiology
G64723 CA Allopathic & Osteopathic Physicians
N 2085N0904X Radiology
Specialization: Nuclear Radiology
G64723 CA Allopathic & Osteopathic Physicians
N 2085P0229X Radiology
Specialization: Pediatric Radiology
G64723 CA Allopathic & Osteopathic Physicians
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
G64723 CA Allopathic & Osteopathic Physicians
N 2085U0001X Radiology
Specialization: Diagnostic Ultrasound
G64723 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA GR0083814 05
CA GR0083813 05
CA GR0083810 05
CA GR0083811 05
CA ZZZ75341Z 05
CA GR0083812 05
CA GR0083815 05
CA GR0083816 05
CA GR0083817 05

Other Providers MICHAEL PUCKETT

NPI Name Taxonomy Address Enumeration
1578668794 Michael Todd Puckett Counselor 980 N Michigan Ave Ste 1400, Chicago, IL 60611-7500 2006-09-13
1639434723 Michael Christopher Puckett Psychologist 903 W Main St, Antlers, OK 74523-2045 2012-07-05

Office Location

Street Address 8745 AERO DR
SUITE 200
City SAN DIEGO
State CA
Zip Code 92123-1774

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689647331 James W Lyon Radiology 8745 Aero Dr, Suite 200, San Diego, CA 92123-1761 2006-02-10
1083097968 Regina Fagout Marriage & Family Therapist 8745 Aero Dr, Unit 107, San Diego, CA 92123-1761 2015-07-09
1376955187 Erica Frances Serrano Case Manager/Care Coordinator 8745 Aero Dr, Suite 107, San Diego, CA 92123-1761 2014-05-28
1750660049 Nhia Moua Case Manager/Care Coordinator 8745 Aero Dr, Suite 330, San Diego, CA 92123-1761 2011-08-04
1740595438 Rosa I Gomez Marriage & Family Therapist 8745 Aero Dr, Unit 107, San Diego, CA 92123-1761 2010-08-18
1811216708 Charles Mitchell Radiology 8745 Aero Dr, Suite 200, San Diego, CA 92123-1761 2010-05-18
1518294818 Diana Truong Case Manager/Care Coordinator 8745 Aero Dr, Suite 330, San Diego, CA 92123-1761 2009-11-06
1518291921 Gillien M Cheung Counselor 8745 Aero Dr, Suite 330, San Diego, CA 92123-1761 2009-10-01
1841404837 Union of Pan Asian Communities Community/Behavioral Health 8745 Aero Dr, Ste. 330, San Diego, CA 92123-1761 2007-05-09
1760695761 John Hamid Naheedy Radiology 8745 Aero Dr, Suite 200, San Diego, CA 92123-1761 2007-05-07
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669087326 Corina Lozano Manzo Registered Nurse 7436 Mission Center Road, San Diego, CA 92123 2020-09-10
1831703537 Shannon Leigh Doolittle Audiologist 3020 Children's Way Mc5010, San Diego, CA 92123 2020-09-01
1861014359 Ha Thanh Truong Pharmacist Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 2020-05-07
1023667136 Brittany Meyer Physical Therapist 3020 Children's Waymc5068, San Diego, CA 92123 2019-09-11
1598313272 Ryan Edward Shaw Marriage & Family Therapist 8910 Clairmont Mesa Blvd, San Diego, CA 92123 2019-08-27
1528611910 Tanisha C Fulcher Marriage & Family Therapist 8825 Aero Dr., Ste 315, San Diago, CA 92123 2019-07-24
1245795665 Robin James Pekin Marriage & Family Therapist 4450 Kearny Villa Rd, #116, San Diego, CA 92123 2019-02-11
1174093728 Karen Vences Counselor 8755 Aero Dr Suite 230, San Diego, CA 92123 2018-11-27
1255808465 Natasha Herrera Counselor 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 2018-10-25
1407321987 Maneka Elikewela Behavior Technician 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 2018-10-10
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790208155 St. Jude Radiology Medical Group, Inc. Radiology 8070 Entrada De Luz E, San Diego, CA 92127-2561 2017-07-18
1225586423 Regional Diagnostic Imaging Radiology 3731 Torrey View Ct, San Diego, CA 92130-2623 2016-09-15
1093127680 William James Tom Radiology 200 West Arbor Drive, Mc 0834, San Diego, CA 92103-0834 2014-05-30
1649697947 Ashley Caitlin Altman Radiology Uc San Diego Health, 200 West Arbor Drive, Mc 8829, San Diego, CA 92103 2014-03-25
1477811693 Michele Christina Mcgahan Radiology 8745 Aero Drive #200, San Diego, CA 92193-3540 2012-04-25
1447557996 Luke R Scalcione Radiology 7540 Charmant Dr, Apt 1216, San Diego, CA 92122-5044 2011-02-18
1144537606 Jasmine Jamin Koo Radiology 5330 Carroll Canyon Rd Ste 140, San Diego, CA 92121-3758 2010-09-04
1265743595 David R Wallace Jr. Radiology 200 W Arbor Dr # Mc0834, Department of Radiology, San Diego, CA 92102-0834 2010-07-01
1881837748 John Joseph Krol Radiology 11125 Red Cedar Dr, San Diego, CA 92131-1309 2009-04-08
1700022712 Thomas N. Folan Radiology 425 W Beech St Unit 1707, San Diego, CA 92101-2965 2008-12-22
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92123

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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