SHAWN C PUTMAN (NPI# 1174586507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174586507 |
| Entity Type | Individual |
| Full Name | SHAWN C PUTMAN |
| Credential | MD |
| Practice Address |
1707 Medical Park Dr W Wilson NC 27893-2788 |
| Mailing Address |
Po Box 3128 Wilson NC 27895-3128 |
| Practice Telephone | 2522917008 |
| Practice Fax Number | 2522911281 |
| Mailing Telephone | 2522917008 |
| Mailing Fax Number | 2522911281 |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2015-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | 9600689 | NC | Other Service Providers |
| Street Address |
1707 MEDICAL PARK DR W |
| City | WILSON |
| State | NC |
| Zip Code | 27893-2788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922094895 | Medical Eye Associates Pa | Ophthalmology | 1707 Medical Park Dr W, Ste1, Wilson, NC 27893-2768 | 2005-09-26 |
| 1124485503 | Sandra Vidacic | Optometrist | 1707 Medical Park Dr W, Wilson, NC 27893 | 2016-01-15 |
| 1417910860 | Lee A Clark Jr. | Optometrist | 1707 Medical Park Dr W, Wilson, NC 27893-2788 | 2006-04-07 |
| 1457313363 | Milan R Genge | Optometrist | 1707 Medical Park Dr W, Suite 1, Wilson, NC 27893-2788 | 2006-04-05 |
| 1235191115 | Sharon Fekrat | Ophthalmology | 1707 Medical Park Dr W, Wilson, NC 27893-2788 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847524 | Graceland Student Services LLC | Early Intervention Provider Agency | 610 Fairview Ave., Wilson, NC 27893 | 2020-09-30 |
| 1508477894 | Evan Michael Abatiell | Specialist/Technologist | 400 Atlantic Christian E West Ne, Wilson, NC 27893 | 2020-08-11 |
| 1679100606 | Newgreen Inhomecare Group Inc | Registered Nurse | 121 Nast Street N, Wilson, NC 27893 | 2020-03-27 |
| 1942772983 | Open Water Medical, Pa | Clinic/Center | 4008 Nc-42, Wilson, NC 27893 | 2018-12-31 |
| 1679043244 | Madison Rose Propst | Social Worker | 2416 Bedgood, Wilson, NC 27893 | 2018-11-27 |
| 1104396753 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2500 Horton Blvd, Wilson, NC 27893 | 2018-11-27 |
| 1528545498 | North Carolina In-home Partner-viii, LLC | Home Health | 1901 Tarboro St Sw Ste 304, Wilson, NC 27893 | 2018-07-24 |
| 1518478957 | Home Away From Home, Inc. | In Home Supportive Care | 1723 Meadowbrook Lane W., Wilson, NC 27893 | 2017-10-12 |
| 1942721295 | Sandra Susan Blazek | Social Worker | 608 Nash Street Nw, Wilson, NC 27893 | 2017-06-27 |
| 1700306297 | Kimberly Denton Almkuist | Nurse Practitioner | Wilson County Health Department, 1801 Glendale Dr. Sw, Wilson, NC 27893 | 2017-06-26 |
| Find all providers in zip 27893 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255336269 | April I Tolbert | Legal Medicine | 200 Glendale Dr W, Wilson, NC 27893-2772 | 2005-06-16 |
| 1932104940 | Natalie A Doyle | Legal Medicine | 2806 B Wooten Boulevard, Wilson, NC 27893 | 2005-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417277278 | Charles Frazier Inc | Legal Medicine | 411 Parkway Ste E, Greensboro, NC 27401-1644 | 2010-06-03 |
| 1093948762 | Aa Management Corp Inc | Legal Medicine | 5225 Albemarle Rd, Charlotte, NC 28212-3604 | 2009-08-28 |
| 1669654901 | Elizabeth D Bryan Md Pa | Legal Medicine | 603 Beaman St Ste 402, Clinton, NC 28328-2689 | 2007-11-28 |
| 1235318577 | Grace Family Medicine | Legal Medicine | 902 Fleming St Ste B, Hendersonville, NC 28791-3504 | 2007-11-02 |
| 1447458757 | Cynthia Brown Greer | Legal Medicine | 224 Rabbit Run Rd, Boone, NC 28607-6829 | 2007-07-08 |
| 1700087483 | Carolinas Psychiatric Associates Christian Counseling Clinic Pa | Legal Medicine | 1552 Union Rd Ste C, Gastonia, NC 28054-5523 | 2007-05-30 |
| 1740496942 | Joseph Martin Lightsey | Legal Medicine | 831 West Morgan Street, Raleigh, NC 27699-4278 | 2007-05-15 |
| 1710003827 | Triangle Cardiology & Internal Medicine | Legal Medicine | 30 Cherokee Trl, Fletcher, NC 28732-9436 | 2007-03-21 |
| 1528195906 | Pamlico Pediatrics, PC | Legal Medicine | 13531 Hwy 55 West, Alliance, NC 28509 | 2007-02-27 |
| 1558422600 | Patricia Ann Chamberlin | Legal Medicine | 350 N Cox St Ste 12, Asheboro, NC 27203-5514 | 2006-12-13 |
| Find all providers with the same taxonomy | ||||
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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.