PUTHENPURACKAL MATHEW (NPI# 1154405272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154405272 |
| Entity Type | Individual |
| Full Name | PUTHENPURACKAL MATHEW |
| Credential | MD |
| Practice Address |
330 23rd Ave N Suite 450 Nashville TN 37203-1534 |
| Practice Telephone | 6153427339 |
| Practice Fax Number | 6153427340 |
| Mailing Telephone | 6153427339 |
| Mailing Fax Number | 6153427340 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2013-06-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
MD29509 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
330 23RD AVE N SUITE 450 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37203-1534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336142363 | Melissa G Reynolds | Obstetrics & Gynecology | 330 23rd Ave N, Suite 604, Nashville, TN 37203-1534 | 2005-05-23 |
| 1477051027 | Michele C Darbonne | Nurse Practitioner | 330 23rd Ave N, Nashville, TN 37203-1534 | 2018-01-30 |
| 1982146361 | Pain Management of Middle Tennessee Pllc | Durable Medical Equipment & Medical Supplies | 330 23rd Ave N, Suite 130, Nashville, TN 37203-1534 | 2016-11-16 |
| 1528514718 | Amy Ziliak | Nurse Practitioner | 330 23rd Ave N, Suite 450, Nashville, TN 37203-1534 | 2016-08-29 |
| 1861869596 | Tristar Bone Marrow Transplant, LLC | Physician Assistant | 330 23rd Ave N, Suite 280, Nashville, TN 37203-1534 | 2015-08-28 |
| 1427470913 | Misty D. Evans | Nurse Practitioner | 330 23rd Ave N, Suite 450, Nashville, TN 37203-1534 | 2014-01-17 |
| 1801239603 | William Heath Frazier | Registered Nurse | 330 23rd Ave N, Suit 350, Nashville, TN 37203-1534 | 2013-04-10 |
| 1689914756 | Womens and Childrens Specialists, LLC | Internal Medicine | 330 23rd Ave N, Suite 450, Nashville, TN 37203-1534 | 2013-02-26 |
| 1871839878 | Elizabeth A Baumstark | Nurse Practitioner | 330 23rd Ave N, Suite 300, Nashville, TN 37203-1534 | 2012-12-19 |
| 1003152208 | Tristar Gynecology Oncology, LLC | Nurse Practitioner | 330 23rd Ave N, Suite 600, Nashville, TN 37203-1534 | 2012-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031843 | Results-ast Jv, LLC | Physical Therapist | 1000 Church Street, Nashville, TN 37203 | 2020-10-23 |
| 1922607159 | Results-ast Jv, LLC | Physical Therapist | 222 22nd Avenue North, Suite 100, Nashville, TN 37203 | 2020-10-19 |
| 1427663152 | Amber Nicole Fox | Nurse Practitioner | 2300 Patterson Street-endo Dept, Nashville, TN 37203 | 2020-09-10 |
| 1144839648 | Tasha Yarris | Nurse Practitioner | 412 Dr D.b. Todd Jr Blvd., Nashville, TN 37203 | 2020-07-30 |
| 1013536655 | Colby Wollenman | Student in an Organized Health Care Education/Training Program | Vanderbilt Orthopaedic Institute 1215 21st Ave S, Medical Center East, South Tower, Suite 4200, Nashville, TN 37203 | 2020-04-14 |
| 1477193738 | Ames Center for Counseling LLC | Social Worker | 1900 Church Street #300, Nashville, TN 37203 | 2020-01-14 |
| 1750922498 | Lisa Michelle Gregory Beck | Nurse Practitioner | 2221 Murphy Avenue, Nashville, TN 37203 | 2019-10-03 |
| 1235634023 | Jackson Primary Care | Family Medicine | 2010 Church St Ste 526, Nashville, TN 37203 | 2018-03-26 |
| 1932614237 | Caitlin Butcher | Social Worker | 402 22nd Ave North, Nashville, TN 37203 | 2017-12-08 |
| 1780194068 | Casey Lynn O'quinn | Behavioral Analyst | 2108 Hayes St, Nashville, TN 37203 | 2017-10-02 |
| Find all providers in zip 37203 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679730212 | Justin Michael Gregory | Pediatrics | 11136 Doctors Office Tower, 2200 Children's Way, Nashville, TN 37232-9170 | 2008-05-21 |
| 1144495482 | Yaa A Kumah-crystal | Pediatrics | 2200 Children's Way Dot, Room 11142, Nashville, TN 37232 | 2008-04-28 |
| 1023335338 | Karishma Abhaya Datye | Pediatrics | 3601 The Vanderbilt Clinic, Nashville, TN 37232-5100 | 2010-04-26 |
| 1427291038 | Cassandra Corinne Brady | Pediatrics | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2009-04-13 |
| 1285830810 | Andrew Alan Bremer | Pediatrics | 2200 Childrens Way, 11136 Doctors' Office Tower, Nashville, TN 37232-9170 | 2007-06-21 |
| 1356499438 | Ashley Hall Shoemaker | Pediatrics | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2007-01-08 |
| 1871640748 | Daniel Moore | Pediatrics | 2601 Tvc, Nashville, TN 37232-0001 | 2007-01-04 |
| 1336236454 | Patsy Trimble Yarbrough | Pediatrics | 3601 Tvc, Nashville, TN 37232-0001 | 2006-10-09 |
| 1760579890 | Deanna Aftab Guy | Pediatrics | 330 23rd Ave N, Ste 450, Nashville, TN 37203-1534 | 2006-10-09 |
| 1265527550 | Irene Hong-mcatee | Pediatrics | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2006-10-04 |
| Find all providers in NASHVILLE | ||||
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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.