THOMAS ALAN PUTNAM (NPI# 1598883506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598883506 |
| Entity Type | Individual |
| Full Name | THOMAS ALAN PUTNAM |
| Credential | MD |
| Practice Address |
20 W Fairmount Ave Lakewood NY 14750-1702 |
| Practice Telephone | 7163380033 |
| Mailing Telephone | 7163380033 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2019-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 154630 | NY | Allopathic & Osteopathic Physicians |
| Y | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
154630-2 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PTAN | J400082246 | 01 | |
| NY | 00639487 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538789102 | Thomas Putnam | Rehabilitation Practitioner | 7824 Nesting Pine Pl, Las Vegas, NV 89143-4468 | 2020-04-23 |
| 1326560020 | Thomas J. Putnam | Social Worker | 8815 Tradewind Rd Nw, Albuquerque, NM 87121-7021 | 2017-07-13 |
| 1598279366 | Thomas Putnam | Counselor | 210 W Burnside Ave Ste A, Chubbuck, ID 83202-4916 | 2017-11-30 |
| 1093883795 | Thomas J Putnam | Internal Medicine | 100 Hospital St Ste 200, Booneville, MS 38829-3354 | 2006-12-01 |
| Street Address |
20 W FAIRMOUNT AVE |
| City | LAKEWOOD |
| State | NY |
| Zip Code | 14750-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164466710 | Mary H Rappole | Nurse Practitioner | 20 W Fairmount Ave, Lakewood, NY 14750-1702 | 2006-06-15 |
| 1356745004 | Benjamin Edward Probst | Social Worker | 20 W Fairmount Ave, Lakewood, NY 14750-1702 | 2014-10-09 |
| 1477998029 | Debra Arlene Przepiora | Licensed Practical Nurse | 20 W Fairmount Ave, Lakewood, NY 14750 | 2013-05-08 |
| 1497190607 | Bethanie Anne Milner | Registered Nurse | 20 W Fairmount Ave, Lakewood, NY 14750-1702 | 2013-05-01 |
| 1073868519 | Kelly Ann Wittenbrook | Nurse Practitioner | 20 W Fairmount Ave, Lakewood, NY 14750 | 2012-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699163147 | Craig Richards | Physician Assistant | 390 E Fairmount Ave, Lakewood, NY 14750 | 2015-01-07 |
| 1982849659 | Syed Ali Raza Shamsi | Psychiatry & Neurology | 305 E. Fairmont Avenue, Unit 7, Lakewood, NY 14750 | 2008-12-10 |
| 1942417977 | Stephen C Barresi | Physician Assistant | Chd Meridian Healthcare, Jep, 4720 Bakerst, Ext., Lakewood, NY 14750 | 2007-05-17 |
| 1295947117 | Harold Ronald Carlson | Dentist | 2 East Main Street, Suite 115, Falconer, NY 14750 | 2007-05-04 |
| 1194865907 | David William Todd | Dentist | 120 Southwestern Dr, Lakewood, NY 14750 | 2007-02-08 |
| 1730271248 | Lee Ryan Anderson | Dentist | 909 Hunt Road, Lakewood, NY 14750 | 2006-09-29 |
| 1962416362 | Us Vision Optical Inc | Eyewear Supplier (Equipment, not the service) | Rt 394 Mall Blvd, Lakewood, NY 14750 | 2006-07-28 |
| 1518925437 | Israr A Abbasi | Psychiatry & Neurology | 305 E Fairmount Ave, Lakewood, NY 14750 | 2006-05-02 |
| 1992771190 | Robert Gibbon Jr. | Psychiatry & Neurology | 92 W. Summit St., Lakewood, NY 14750 | 2006-02-27 |
| 1295213684 | Allison Claire Munella | Physician Assistant | 305 E Fairmount Ave, Lakewood, NY 14750 | 2018-07-30 |
| Find all providers in zip 14750 | ||||
| Taxonomy Code | 207QH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Hospice and Palliative Medicine |
| A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588206916 | Danielle Marie Pavon | Family Medicine | 2031 E 71st St, Brooklyn, NY 11234-6242 | 2019-10-17 |
| 1790123701 | Sally Elizabeth Mathew-geevarughese | Family Medicine | 8900 Van Wyck Expy Ste 3d, Jamaica, NY 11418-2832 | 2013-06-12 |
| 1396921821 | Pamela Barton | Family Medicine | 33 W 60th St Fl 2, New York, NY 10023-7905 | 2008-01-15 |
| 1558575514 | Tatiana Voitovitch-khurgin | Family Medicine | 68-80 Schermerhorn St., Brooklyn, NY 11201 | 2007-05-09 |
| 1801008099 | Sherly Abraham | Family Medicine | 121, Dekalb Ave, Brooklyn, NY 11201 | 2007-05-03 |
| 1568684660 | Flushing Primary Care Associates, LLP | Family Medicine | 72-18 164th Street, Flushing, NY 11365-4222 | 2007-05-02 |
| 1437374279 | J Barbazan-silva Md PC | Family Medicine | 1111 Park Ave # 1f, New York, NY 10128-1234 | 2007-04-16 |
| 1184673808 | Brent W Spears | Family Medicine | 107 Berkshire Dr, Farmingville, NY 11738-2003 | 2006-05-09 |
| 1881193316 | Anand Medical P.C. | Family Medicine | 27111 76th Ave, New Hyde Park, NY 11040-1436 | 2018-02-10 |
| 1861852519 | Aurora Medical LLC | Family Medicine | 554 Larkfield Rd, Suite 10b, East Northport, NY 11731-4205 | 2016-02-23 |
| Find all providers with the same taxonomy | ||||
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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.