MICHAEL J PUTNAM (NPI# 1124073200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124073200 |
| Entity Type | Individual |
| Full Name | MICHAEL J PUTNAM |
| Credential | P.A-C |
| Practice Address |
225 N Jackson Ave San Jose CA 95116-1603 |
| Mailing Address |
2100 Powell St Ste 920 Emeryville CA 94608-1826 |
| Practice Telephone | 4089237121 |
| Mailing Telephone | 5103502777 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2007-11-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA17820 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073977740 | Michael Putnam | Family Medicine | 2123 Auburn Ave. Tch Family Medicine, Suite 235, Cincinnati, OH 45219 | 2016-04-08 |
| 1346440765 | Michael C. Putnam | Dentist | 1910 Se 29th St, Topeka, KS 66605-2529 | 2007-07-23 |
| 1295942712 | Michael Steven Putnam | Dentist | 17 Sw Birch Dr, Hermiston, OR 97838-2178 | 2007-05-16 |
| Street Address |
225 N JACKSON AVE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95116-1603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194719740 | Pacific Pathology Medical Associates | Pathology | 225 N Jackson Ave, San Jose, CA 95116 | 2005-09-08 |
| 1679192561 | Leigh Suzanne Bolton | Nurse Practitioner | 225 N Jackson Ave, San Jose, CA 95116-1603 | 2020-04-11 |
| 1265068050 | Katherine S Leu | Nurse Practitioner | 225 N Jackson Ave, San Jose, CA 95116-1603 | 2020-03-12 |
| 1023659448 | Linda Lien Tran | Pharmacist | 225 N Jackson Ave, Pharmacy Department, San Jose, CA 95116 | 2019-10-07 |
| 1740747427 | Srilakshmi Vemulakonda, Md Inc | Clinic/Center | 225 N Jackson Ave, San Jose, CA 95116-1603 | 2019-02-28 |
| 1588149199 | Farhat Mawlavizada | Physician Assistant | 225 N Jackson Ave, San Jose, CA 95116-1603 | 2018-09-28 |
| 1780186304 | Christina Yang Xie | Pharmacist | 225 N Jackson Ave, San Jose, CA 95116-1603 | 2018-02-28 |
| 1417465642 | Andrea Myles | Physical Therapist | 225 N Jackson Ave, San Jose, CA 95116-1603 | 2018-01-23 |
| 1366955890 | Siobhan Carolyn Finn | Physician Assistant | 225 N Jackson Ave, San Jose, CA 95116-1603 | 2017-11-06 |
| 1376055277 | Emerald Henault | Physician Assistant | 225 N Jackson Ave, San Jose, CA 95116-1603 | 2017-11-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821570102 | Lori Chung Cho Dmd Inc. | Clinic/Center | 150 N Jackson Ave Ste 103, San Jose, CA 95116 | 2018-09-03 |
| 1306333174 | Patrick Suezaki | Dentist | 250 Montclair Ave Ste C, San Jose, CA 95116 | 2018-04-17 |
| 1871016147 | Israel Enrique Ruiz Lora | Social Worker | 1075 East Santa Clara, San Jose, CA 95116 | 2017-07-19 |
| 1275072613 | Araceli Yazmin Garcia | Case Manager/Care Coordinator | 1652 E San Fernando St, San Jose, CA 95116 | 2017-02-17 |
| 1710304712 | Natalie K. Huynh D.d.s Inc. | Dentist | 2340 Mckee Rd #24, San Jose, CA 95116 | 2014-03-27 |
| 1437597747 | Ian Ellis Mccoy | Internal Medicine | 2360 Mckee Rd Ste 10, San Jose, CA 95116 | 2013-06-08 |
| 1588913321 | Adrian Fernandez | Counselor | 1245 East Santa Clara Street, San Jose, CA 95116 | 2012-09-07 |
| 1851678841 | Krystal Lani Subia | Counselor | 101 Jose Figueres Avenue, San Jose, CA 95116 | 2011-11-04 |
| 1255668224 | Sophia O.j.m. Dijkstra | Physical Therapist | 180 N. Jackson Ave, San Jose, CA 95116 | 2009-11-11 |
| 1255562096 | Jovan De Guzman Sedilla | Physical Therapy Assistant | 180 N. Jackson Ave., San Jose, CA 95116 | 2009-07-28 |
| Find all providers in zip 95116 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607423 | Emily Halla | Physician Assistant | 7473 Gresham Ct, San Jose, CA 95139-1424 | 2020-10-26 |
| 1881210029 | Jeremy Nathan Birch | Physician Assistant | 1287 San Moritz Dr, San Jose, CA 95132-2754 | 2020-06-23 |
| 1609491158 | Kaitlin Aquino | Physician Assistant | 1382 Bing Dr, San Jose, CA 95129-4703 | 2020-06-10 |
| 1275152282 | Heema K Bhagat | Physician Assistant | 6967 Sessions Dr, San Jose, CA 95119-1335 | 2020-04-09 |
| 1013557925 | Kassaundra Cervantes | Physician Assistant | 2114 Mckee Rd, San Jose, CA 95116-1427 | 2020-01-08 |
| 1508416207 | Shelley Brunkan | Physician Assistant | 227 Giddings Ct, San Jose, CA 95139-1421 | 2019-09-14 |
| 1053960724 | Caroline Luczak | Physician Assistant | 88 E San Fernando St, San Jose, CA 95113-2535 | 2019-09-05 |
| 1336704402 | Irene Rummel | Physician Assistant | 1227 Gehrig Ave, San Jose, CA 95132-2714 | 2019-05-04 |
| 1801350749 | Brenda H.t. Nguyen | Physician Assistant | 1102 Brooks Range Lndg, San Jose, CA 95131-3803 | 2019-01-24 |
| 1477021848 | Christina Ly | Physician Assistant | 1569 Lexann Ave Ste 206, San Jose, CA 95121-1795 | 2018-11-05 |
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| 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.