PAUL ANDREW PUCKETT


Address: 2360 Mullan Rd, Suite C, Missoula, MT 59808-1811
Phone: 4067214436

PAUL ANDREW PUCKETT (NPI# 1174502017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174502017
Entity Type Individual
Full Name PAUL ANDREW PUCKETT
Credential M.D.
Practice Address 2360 Mullan Rd
Suite C
Missoula
MT 59808-1811
Practice Telephone 4067214436
Practice Fax Number 4067216053
Mailing Telephone 4067214436
Mailing Fax Number 4067216053
Enumeration Date 2006-01-10
Last Update Date 2019-12-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XS0106X Orthopaedic Surgery
Specialization: Hand Surgery
8250 MT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MT 0017051 05

Other Providers PAUL PUCKETT

NPI Name Taxonomy Address Enumeration
1407961410 Paul Laval Puckett Physician Assistant 4215 Joe Ramsey Blvd, Greenville, TX 75403 2006-08-20

Office Location

Street Address 2360 MULLAN RD
SUITE C
City MISSOULA
State MT
Zip Code 59808-1811

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497747802 Kay Lynn Kramer Occupational Therapist 2360 Mullan Rd, Ste D, Missoula, MT 59808-1811 2005-08-22
1891354684 Tasha Nichole Kohlwes Specialist/Technologist 2360 Mullan Rd, Missoula, MT 59808-1811 2019-06-06
1306327317 Sydney Williams Physical Therapist 2360 Mullan Rd, Missoula, MT 59808-1811 2018-08-27
1144754938 University of Utah Adult Services Orthopaedic Surgery 2360 Mullan Rd, Suite C, Missoula, MT 59808-1811 2017-04-18
1023542388 University of Utah Pediatric Services Pediatrics 2360 Mullan Rd, Sutie C, Missoula, MT 59808-1811 2017-04-13
1689117194 Matea Michelle Depoe Specialist/Technologist 2360 Mullan Rd, Suite D, Missoula, MT 59808-1811 2016-12-01
1972900157 Vincent Keeney Physician Assistant 2360 Mullan Rd, Ste C, Missoula, MT 59808-1811 2014-12-03
1497158208 Emily Beatrice Smith Dietitian, Registered 2360 Mullan Rd, Suite C, Missoula, MT 59808-1811 2014-10-07
1588079016 Cynthia Deann Cleveland Physical Therapist 2360 Mullan Rd, Suite C, Missoula, MT 59808-1811 2014-06-23
1427312438 Jesse Jeffrey Doll Physician Assistant 2360 Mullan Rd, Ste C, Missoula, MT 59808-1811 2012-06-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447720875 Megan Elizabeth Galliford Behavioral Analyst 1647 Shindig Dr, Apt 303, Missoula, MT 59808 2018-11-28
1518473560 Willow Mahana Nelson Griffith Registered Nurse 2829 Great Northern Loop Ste 300, Missoula, MT 59808 2017-12-28
1043739428 Carol Elizabeth Mckenzie Student in an Organized Health Care Education/Training Program 2705 Oshaughnessy St, Missoula, MT 59808 2017-09-16
1558884064 Sharon Marie Herndon Nurse Practitioner 2230 N Reserve St Ste 402, Missoula, MT 59808 2017-07-18
1427594761 Erin Boggs Specialist/Technologist 2921 Dublin St, Missoula, MT 59808 2017-01-10
1942603287 Benjamin Cody Mcintosh Chiropractor 1070 N. Russell St., Missoula, MT 59808 2014-10-01
1518219617 Pure Medical Inc Ambulance 5515 Bonanza Place, Missoula, MT 59808 2012-10-12
1932462231 Kathleen F Calcagno Specialist/Technologist 2615 Connery Way, Suite 2b, Missoula, MT 59808 2012-06-21
1639454127 Dentyn Dunaway Pharmacist 2527 N Reserve Street, Missoula, MT 59808 2011-10-15
1750557690 Carl Thornblade, Md, Pllc Allergy & Immunology 2801 Great Northern Loop Ste 101, Missoula, MT 59808 2008-04-30
Find all providers in zip 59808

Taxonomy Information

Taxonomy Code 207XS0106X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Hand Surgery

Taxonomy Definition

An orthopaedic surgeon trained 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: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619929635 Charles L Sullivan Orthopaedic Surgery 2360 Mullan Rd, Suite C., Missoula, MT 59808-1811 2006-05-17
1548260706 Thomas A. Rickard Orthopaedic Surgery 2831 Fort Missoula Rd, Suite 232, Missoula, MT 59804-7419 2005-07-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649211566 Wanda Lea Gorsuch Orthopaedic Surgery 41 Prospect Dr, Great Falls, MT 59405-4123 2006-06-10
1346509759 Nicholas Beck Orthopaedic Surgery 2900 12th Ave N Ste 140w, Billings, MT 59101 2012-05-07
1588693741 Richard N Vinglas Orthopaedic Surgery 1450 Ellis St, Suite 201, Bozeman, MT 59715-8812 2006-07-01
1073549093 Ralph M Costanzo Orthopaedic Surgery 2900 12th Ave N, #100e, Billings, MT 59101-7506 2006-06-23

Competitor

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City MISSOULA
Zip Code 59808

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Dataset Information

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.

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