DR. ANDREW GRANT PUCKETT (NPI# 1174523856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174523856 |
| Entity Type | Individual |
| Full Name | DR. ANDREW GRANT PUCKETT |
| Credential | DPM |
| Practice Address |
827 W Wyoming St Allentown PA 18103-3961 |
| Practice Telephone | 6104326221 |
| Mailing Telephone | 6104326221 |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 213E00000X | Podiatrist | SC005521 | PA | Podiatric Medicine & Surgery Service Providers |
| X | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
SC005521 | PA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0018704060001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235624917 | Andrew Dawson Puckett | Peer Specialist | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2018-06-26 |
| Street Address |
827 W WYOMING ST |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18103-3961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851484828 | John Rafetto | Podiatrist | 827 W Wyoming St, Allentown, PA 18103-3961 | 2006-10-02 |
| 1245287028 | Medical Associates of The Lehigh Valley PC | Family Medicine | 827 W Wyoming St, Allentown, PA 18103-3961 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376156752 | Syed Ali Aown | Internal Medicine | 1200 Cedar Crest Blvd Department of Education-office Of, Allentown, PA 18103 | 2020-08-26 |
| 1558980169 | Shelley M. Spence | Occupational Therapist | 1243 South Cc Blvd., Suite 302, Allentown, PA 18103 | 2020-04-14 |
| 1386133791 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1259 S Cedar Crest Blvd Ste 336, Allentown, PA 18103 | 2018-05-02 |
| 1366939555 | St. Luke's Physician Group, Inc. | Family Medicine | 3570 Hamilton Blvd Ste 201, Allentown, PA 18103 | 2018-04-13 |
| 1942701008 | Bradford Young Family & Cosmetic Dentistry | Dentist | 1275 S. Cedar Crest Boulevard, Allentown, PA 18103 | 2018-02-23 |
| 1598275281 | Lorillie Soleta | Nurse Practitioner | Good Shepherd Rehabilitation Network, 850 South 5th St., Allentown, PA 18103 | 2017-10-06 |
| 1538681457 | Rahul Gupta | Internal Medicine | Lehigh Valley Physicians Practice, 1250 S. Cedar Crest Blvd, Ste. 300, Allentown, PA 18103 | 2017-07-12 |
| 1669992962 | Aaron Michael Roman | Audiologist | 1210 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-27 |
| 1134658404 | Gyujae Choi | Internal Medicine | 1200 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-08 |
| 1255713731 | Firely Home for Kids | Skilled Nursing Facility | 2402 Sunshine Rd, Allentown, PA 18103 | 2015-06-22 |
| Find all providers in zip 18103 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437166741 | Mary E Robinson | Podiatrist | 317 Springhouse Rd, Allentown, PA 18104-4613 | 2006-08-01 |
| 1275518854 | Ann C Anderson | Podiatrist | 1633 N 26th St, Allentown, PA 18104-1805 | 2005-12-07 |
| 1891770483 | Allentown Family Foot Care Professional Corporation | Podiatrist | 2414 Walbert Ave, Allentown, PA 18104-1326 | 2005-12-07 |
| 1346235017 | Douglas A Tozzoli | Podiatrist | 501 N 17th St Ste 107, Allentown, PA 18104-5044 | 2005-09-19 |
| 1710972716 | Marinilda Rodriguez | Podiatrist | 101 S 17th St, Allentown, PA 18104-6704 | 2005-09-15 |
| 1801888987 | Orthopaedic Associates of Allentown | Podiatrist | 250 Cetronia Road, Suite 303, Allentown, PA 18104-9168 | 2005-08-16 |
| 1992702880 | Jay E. Melman | Podiatrist | 103 S 17th St, Allentown, PA 18104-6704 | 2005-07-07 |
| 1639776834 | Irene E. Economou, D.p.m. LLC | Podiatrist | 103 S 17th St, Allentown, PA 18104-6704 | 2020-10-01 |
| 1457801839 | Pa Foot and Ankle Associates, LLC | Podiatrist | 2895 Hamilton Blvd, Suite 101, Allentown, PA 18104-6172 | 2016-10-10 |
| 1194104281 | St. Luke's Physician Group Inc. | Podiatrist | 1501 Lehigh St, Suite 103, Allentown, PA 18103-3880 | 2015-05-22 |
| Find all providers in ALLENTOWN | ||||
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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.