DR. HEIDI LYNN PUTT (NPI# 1114969888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114969888 |
| Entity Type | Individual |
| Full Name | DR. HEIDI LYNN PUTT |
| Credential | DO |
| Practice Address |
1675 Leahy St Suite 324b Muskegon MI 49442-5500 |
| Mailing Address |
Po Box 1847 Muskegon MI 49443-1847 |
| Practice Telephone | 2317281700 |
| Practice Fax Number | 2317281675 |
| Mailing Telephone | 2317281700 |
| Mailing Fax Number | 2317281675 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2019-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 5101015565 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
5101015565 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4551829 | 05 | |
| MI | MEDICARE | MI1763017 | 01 |
| Street Address |
1675 LEAHY ST SUITE 324B |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49442-5500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962405357 | Byron L Varnado | Family Medicine | 1675 Leahy St, Ste 301, Muskegon, MI 49442-5543 | 2005-05-31 |
| 1083269641 | Sheva Anayah Loncle | Physician Assistant | 1675 Leahy St, Muskegon, MI 49442-5500 | 2019-08-09 |
| 1790277101 | Felisa Saldutti | Student in an Organized Health Care Education/Training Program | 1675 Leahy St, Muskegon, MI 49442-5500 | 2018-05-31 |
| 1245768951 | Erin Nicole Deprekel | Student in an Organized Health Care Education/Training Program | 1675 Leahy St, Muskegon, MI 49442-5500 | 2017-05-24 |
| 1659807709 | Irfan Ahmed Khan | Student in an Organized Health Care Education/Training Program | 1675 Leahy St, Suite 201a, Muskegon, MI 49442-5500 | 2017-05-11 |
| 1740715689 | William Brady Alling | Student in an Organized Health Care Education/Training Program | 1675 Leahy St, Suite 201a, Muskegon, MI 49442-5500 | 2017-04-28 |
| 1093240103 | Cassondra Wass | Student in an Organized Health Care Education/Training Program | 1675 Leahy St, Suite 201a, Muskegon, MI 49442-5500 | 2017-04-26 |
| 1740713551 | Brynn Schumacher | Student in an Organized Health Care Education/Training Program | 1675 Leahy St, Suite 315, Muskegon, MI 49442-5500 | 2017-04-07 |
| 1083156723 | Sara Farwig | Physician Assistant | 1675 Leahy St, Suite 324b, Muskegon, MI 49442-5500 | 2016-11-11 |
| 1336590728 | Eliza Newbury-palma | Family Medicine | 1675 Leahy St, Suite 315a, Muskegon, MI 49442-5500 | 2016-06-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205472321 | Beacon of Light Counseling LLC | Social Worker | 1515 E Laketon Ave, Muskegon, MI 49442 | 2019-11-24 |
| 1528524410 | Tyler Companion | Social Worker | 710 Mclaughlin, Muskegon, MI 49442 | 2019-02-15 |
| 1427549658 | Amber Renee Davidson | Behavioral Analyst | 1175 Wesley Street, Muskegon, MI 49442 | 2018-05-23 |
| 1528559085 | Katherine Dale Kirby | Obstetrics & Gynecology | Mercy Health Hackley, 1700 Clinton St., Muskegon, MI 49442 | 2018-05-21 |
| 1023524303 | Aaron James Dortch | Social Worker | 571 E Appleave, Muskegon, MI 49442 | 2017-12-21 |
| 1043737554 | Jessica Nicole Moskalewski | Social Worker | 125 E. Catherine, Muskegon, MI 49442 | 2017-08-25 |
| 1427587831 | Cristina J Walcott | Social Worker | 1611 Oak Avenue, Muskegon, MI 49442 | 2017-06-08 |
| 1104352244 | Jessica Lee Bailey-yabani | Counselor | 35 S Sheridan Dr, Muskegon, MI 49442 | 2017-05-11 |
| 1538514518 | Andrew G Gregson | Internal Medicine | 1675 Leahy Street Suite 201a, Muskegon, MI 49442 | 2016-04-27 |
| 1487038287 | Mark Charles Kaufman | Social Worker | 1611 Oak Ave., Muskegon, MI 49442 | 2015-07-13 |
| Find all providers in zip 49442 | ||||
| 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 |
|---|---|---|---|---|
| 1346698784 | Spectrum Health Primary Care Partners | Internal Medicine | 2009 Holton Road, Muskegon, MI 49445 | 2016-05-26 |
| 1679633929 | West Michigan Gastroenterology Plc | Internal Medicine | 1675 Leahy, Suite 324b, Muskegon, MI 49442-5500 | 2006-12-09 |
| 1689980245 | Alejandro Nakahodo Md PC | Internal Medicine | 1560 E Sherman Blvd, Suite 245, Muskegon, MI 49444-1867 | 2010-08-20 |
| 1467666040 | Steven R. Fox | Internal Medicine | 1675 Leahy St, Suite 324b, Muskegon, MI 49442-5500 | 2007-05-10 |
| 1053539007 | Nino Pio Soave | Internal Medicine | 2009 Holton Rd, Muskegon, MI 49445-1578 | 2007-04-23 |
| 1508960071 | Hpcn | Internal Medicine | 1675 Leahy St, Suite 324b, Muskegon, MI 49442-5500 | 2006-09-12 |
| 1992812952 | Andrew M Welch | Internal Medicine | 1675 Leahy St, Suite 324b, Muskegon, MI 49442-5500 | 2006-08-24 |
| 1831180611 | Richard Jaszewski | Internal Medicine | 1675 Leahy St, Ste 324b, Muskegon, MI 49442-5500 | 2005-11-02 |
| 1861483729 | Jeffrey A Leinicke | Internal Medicine | 1675 Leahy St, Ste 324b, Muskegon, MI 49442-5500 | 2005-10-31 |
| 1689665549 | John P Egan Jr. | Internal Medicine | 1675 Leahy St, Ste 324b, Muskegon, MI 49442-5500 | 2005-10-31 |
| Find all providers in MUSKEGON | ||||
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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.