PUTNAM PHYSICIAN PRACTICES, LLC (NPI# 1205117900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205117900 |
| Entity Type | Organization |
| Organization Name | PUTNAM PHYSICIAN PRACTICES, LLC |
| Other Organization Name | PUTNAM GI ASSOCIATES |
| Practice Address |
611 Zeagler Dr Palatka FL 32177-3810 |
| Practice Telephone | 3863267793 |
| Practice Fax Number | 3863284244 |
| Mailing Telephone | 3863267793 |
| Mailing Fax Number | 3863284244 |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2011-09-08 |
| Authorized Official Name | SHELLEY MERRITT-DIETZ (ADMIN) |
| Authorized Official Telephone | 3862446408 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| PUTNAM GI ASSOCIATES | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780957944 | Putnam Physician Practices, LLC | Orthopaedic Surgery | 700 Zeagler Dr, Suite 7, Palatka, FL 32177-6806 | 2012-02-20 |
| Street Address |
611 ZEAGLER DR |
| City | PALATKA |
| State | FL |
| Zip Code | 32177-3810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447244058 | Jennifer Lee Hart | Nurse Anesthetist, Certified Registered | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2005-09-09 |
| 1487120812 | Michele Cole | Registered Nurse | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2018-10-24 |
| 1619485760 | Brandon Dewayne Morgan | Student in an Organized Health Care Education/Training Program | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2018-01-10 |
| 1174038970 | Andrew Brian Kirkland | Physician Assistant | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2017-12-04 |
| 1295274546 | Jennifer Dye Standridge | Skilled Nursing Facility | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2017-02-20 |
| 1003352782 | Lindsey Fletcher | Nurse Practitioner | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2017-01-18 |
| 1437694056 | Brandi Rae Curtis | Nurse Practitioner | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2017-01-05 |
| 1609228196 | Vincent Demond Wright | Nurse Anesthetist, Certified Registered | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2016-07-07 |
| 1710331665 | Tamara Baxter | Nurse Practitioner | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2016-04-18 |
| 1740676220 | Putnam Community Medical Center of North Florida, LLC | Medicare Defined Swing Bed Unit | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2015-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124176 | Charlie Douglas | Pharmacist | 1024 South State Road 19, Pharmacy, Palatka, FL 32177 | 2020-11-05 |
| 1275090359 | Carol M Kazounis | Dietitian, Registered | 2801 Kennedy Strett, Palatka, FL 32177 | 2019-02-26 |
| 1447744768 | Pulido Internal Medicine | Nurse Practitioner | 700 Zeagler Drive, Suite 1, Palatka, FL 32177 | 2018-06-20 |
| 1063922656 | Ronald Michael Wendt | Nurse Practitioner | 3703 Crill Ave, Palatka, FL 32177 | 2017-10-09 |
| 1043560212 | Leslie Ann Lewis | Massage Therapist | 325 Poinsetta Ave, Palatka, FL 32177 | 2012-09-14 |
| 1285984963 | Walgreens | Pharmacy | 719 South State Road 19, Palatka, FL 32177 | 2012-09-11 |
| 1841549235 | Audrey M Russell | Pharmacy Technician | 719 Hwy 19 South, Palatka, FL 32177 | 2012-08-31 |
| 1194023838 | Sherry D. Michael | Licensed Practical Nurse | 330 Kay Larkin Dr., Palatka, FL 32177 | 2011-03-04 |
| 1083846364 | Patricia Kowalchuk | Occupational Therapy Assistant | 6050 St.johns Ave., Suite A, Palatka, FL 32177 | 2009-08-20 |
| 1609015320 | Robin Calhoun | Occupational Therapist | 611 Zeagler Dr., Palatka, FL 32177 | 2009-02-19 |
| Find all providers in zip 32177 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083024715 | Rehan Mohammed Naseemuddin | Internal Medicine | 414 Zeagler Dr, Palatka, FL 32177-3815 | 2014-05-02 |
| 1013987635 | Harold Hayes Sullivan Jr. | Internal Medicine | 700 Zeagler Dr, Suite 8, Palatka, FL 32177-6806 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321382 | Charlotte Harbor Gastroenterology LLC | Internal Medicine | 2811 Tamiami Trl Ste I, Port Charlotte, FL 33952-5135 | 2020-09-22 |
| 1750907614 | Michael G. Valladares D.o. P.a. | Internal Medicine | 10302 Sw 116th St, Miami, FL 33176-4049 | 2020-06-17 |
| 1578100996 | Alex Aziz Al Khoury | Internal Medicine | 1120 Nw 14th St. Suite 1112, Miami, FL 33136 | 2019-12-04 |
| 1750922399 | Gastroenterology Care Specialists, LLC | Internal Medicine | 550 Redstone Ave W Ste 430, Crestview, FL 32536-6457 | 2019-10-04 |
| 1194375378 | Digestive and Liver Disease Institute of Florida, LLC | Internal Medicine | 505 W Oak St Ste 202, Kissimmee, FL 34741-4986 | 2019-09-18 |
| 1659833002 | Steven L Diamond | Internal Medicine | 5606 Vintage Oaks Terrace, Delray Beach, FL 33484 | 2019-04-04 |
| 1225507601 | Linmec Corp | Internal Medicine | 4531 Deleon St Ste 215, Fort Myers, FL 33907-1279 | 2018-11-15 |
| 1912474156 | Eileen E Kim | Internal Medicine | 5117 Fiorella Ln, Sanford, FL 32771-5449 | 2018-10-25 |
| 1790251197 | Gabriel Benitez | Internal Medicine | 2330 Wilton Dr, Wilton Manors, FL 33305-1249 | 2018-10-23 |
| 1043786833 | Union Medical Group | Internal Medicine | 6300 Corporate Ct Ste 105, Fort Myers, FL 33919-3513 | 2018-10-18 |
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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.