JILL PUTNAM (NPI# 1063831550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063831550 |
| Entity Type | Individual |
| Full Name | JILL PUTNAM |
| Credential | MD |
| Practice Address |
195 Eastern Blvd Ste 200 Glastonbury CT 06033-4353 |
| Practice Telephone | 6148938800 |
| Mailing Telephone | 6148938800 |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2020-10-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
64931 | CT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
195 EASTERN BLVD STE 200 |
| City | GLASTONBURY |
| State | CT |
| Zip Code | 06033-4353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891072104 | Christopher Mccarthy | Orthopaedic Surgery | 195 Eastern Blvd Ste 200, Glastonbury, CT 06033-4353 | 2011-11-15 |
| 1841772548 | Catherine Giuliano | Occupational Therapist | 195 Eastern Blvd Ste 200, Glastonbury, CT 06033-4353 | 2018-08-30 |
| 1104304575 | Joshua Kevin Mcauliffe | Occupational Therapist | 195 Eastern Blvd Ste 200, Glastonbury, CT 06033-4353 | 2018-07-30 |
| 1215423710 | Julie Forster | Physician Assistant | 195 Eastern Blvd Ste 200, Glastonbury, CT 06033-4353 | 2018-07-08 |
| 1922411628 | Ravi Viradia | Orthopaedic Surgery | 195 Eastern Blvd Ste 200, Glastonbury, CT 06033-4353 | 2014-06-10 |
| 1770993693 | Jared Potts | Orthopaedic Surgery | 195 Eastern Blvd Ste 200, Glastonbury, CT 06033-4353 | 2014-04-30 |
| 1548680622 | Kyle Grooms | Orthopaedic Surgery | 195 Eastern Blvd Ste 200, Glastonbury, CT 06033-4353 | 2014-04-16 |
| 1184051344 | Christopher John Dillon | Physician Assistant | 195 Eastern Blvd Ste 200, Glastonbury, CT 06033-1208 | 2013-10-02 |
| 1508108911 | Benjamin Michael Robichaux | Surgery | 195 Eastern Blvd Ste 200, Glastonbury, CT 06033 | 2013-03-23 |
| 1952664062 | Arie Gerhard Trouw | Orthopaedic Surgery | 195 Eastern Blvd Ste 200, Glastonbury, CT 06033-4353 | 2012-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477074649 | Starling Physicians, PC | Durable Medical Equipment & Medical Supplies | 289 Western Blvd, Glastonbury, CT 06033 | 2017-06-28 |
| 1497284897 | D&l Eyecare | Optometrist | 33 Welles Street, Glastonbury, CT 06033 | 2017-06-08 |
| 1730626235 | Half Full Psychiatry LLC | Clinic/Center | 39 New London Tpke Ste 230f, Glastonbury, CT 06033 | 2017-01-23 |
| 1285000117 | Olga A Levkina | Physician Assistant | 2928 Main St Ste 101, Glastonbury, CT 06033 | 2015-08-14 |
| 1619350576 | Ryan Ilg Reichelt | Dentist | 131 New London Tpke Ste 211, Glastonbury, CT 06033 | 2015-07-09 |
| 1316320534 | Devon Banda | Orthopaedic Surgery | The Hand Center, 195 Eastern Blvd, # 200, Glastonbury, CT 06033 | 2015-07-07 |
| 1881073195 | Brittney Stanley | Counselor | 122 Naubuc Ave Ste 104, Glastonbury, CT 06033 | 2015-05-20 |
| 1780071878 | Richard T. Risinger | Dentist | 88 Citizens Drive, Glastonbury, CT 06033 | 2015-04-16 |
| 1639568751 | Carol Jane Gammell | Counselor | 140 Glastonbury Boulevard, Suite 30, Glastonbury, CT 06033 | 2015-01-13 |
| 1407262611 | Prashant Sinha | Dentist | 2874 Main Street, Glastonbury, CT 06033 | 2014-07-08 |
| Find all providers in zip 06033 | ||||
| Taxonomy Code | 2086S0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgery of the Hand |
| A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508108911 | Benjamin Michael Robichaux | Surgery | 195 Eastern Blvd Ste 200, Glastonbury, CT 06033 | 2013-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982774279 | Robert Bruce Tross | Surgery | 149 Durham Road, Suite 25, Madison, CT 06443 | 2006-11-08 |
| 1407947062 | Stewart C Gross Md | Surgery | 2660 Main Street, S 311, Bridgeport, CT 06606 | 2006-09-27 |
| 1437149416 | Lionel Graham Brown | Surgery | 35 Tamarack Ave, Danbury, CT 06811-4959 | 2005-10-21 |
| 1689812885 | Connecticut Plastic Surgery Group, LLC | Surgery | 2600 Post Rd, Southport, CT 06890-1258 | 2009-01-26 |
| 1285662627 | Thomas C Cherry Jr. | Surgery | 330 Washington St, Suite 410, Norwich, CT 06360-2700 | 2006-06-28 |
| 1265474696 | Federal Hill Plastic Surgery, PC | Surgery | 291 Queen St, Bristol, CT 06010-6379 | 2006-06-11 |
| 1710947379 | Armann O Ciccarelli | Surgery | 291 Queen St, Bristol, CT 06010-6379 | 2006-03-27 |
| 1437133410 | James Grant Thomson | Surgery | 800 Howard Ave, Yale Physicians' Building, 2nd Fl, New Haven, CT 06519-1369 | 2005-12-02 |
| City | GLASTONBURY |
| Zip Code | 06033 |
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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.