KIRK PUTTLITZ (NPI# 1205807971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205807971 |
| Entity Type | Individual |
| Full Name | KIRK PUTTLITZ |
| Credential | MD |
| Practice Address |
18444 N 25th Ave Ste 210 Phoenix AZ 85023-1264 |
| Mailing Address |
18444 N 25th Ave Ste 310 Phoenix AZ 85023-1266 |
| Practice Telephone | 6235375600 |
| Practice Fax Number | 8669392673 |
| Mailing Telephone | 6235375600 |
| Mailing Fax Number | 8669392673 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2014-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | 26875 | AZ | Allopathic & Osteopathic Physicians |
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
29875 | AZ | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
29875 | AZ | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
26875 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
18444 N 25TH AVE STE 210 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85023-1264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568469336 | Michael Duval | Specialist | 18444 N 25th Ave, Suite 310, Phoenix, AZ 85023-1261 | 2005-07-07 |
| 1366931354 | Thomas R Goodine | Orthopaedic Surgery | 18444 N 25th Ave, Ste 310, Phoenix, AZ 85023 | 2018-05-04 |
| 1780122796 | Open Doors Counseling, Coaching and Consulting | Community/Behavioral Health | 18444 N 25th Ave, Suite 420, Phoenix, AZ 85023-1261 | 2017-02-09 |
| 1295272334 | Niloofar Dehghan | Specialist | 18444 N 25th Ave, Ste 320, Phoenix, AZ 85023-1261 | 2017-01-27 |
| 1225589021 | Grayson Halladay | Physician Assistant | 18444 N 25th Ave, Suite 310, Phoenix, AZ 85023 | 2016-10-18 |
| 1811343700 | Center for Orthopedic Research and Education, Inc | Durable Medical Equipment & Medical Supplies | 18444 N 25th Ave, Suite 220, Phoenix, AZ 85023-1261 | 2016-05-10 |
| 1033564042 | Arizona Therapy Associates, LLC | Residential Treatment Facility, Physical Disabilities | 18444 N 25th Ave, Suite 420-712, Phoenix, AZ 85023-1261 | 2016-04-27 |
| 1013390343 | Phillip Veatch | Physician Assistant | 18444 N 25th Ave, 310, Phoenix, AZ 85023-1261 | 2015-07-06 |
| 1639551617 | Raymond Finch | Physical Therapist | 18444 N 25th Ave, Suite 210, Phoenix, AZ 85023-1261 | 2015-06-25 |
| 1619384294 | Elise C Harris | Physical Therapist | 18444 N 25th Ave, Suite 220, Phoenix, AZ 85023-1261 | 2014-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891265468 | Dildora Turakulova | Home Health | 2238 West Faria Ln, Phoenix, AZ 85023 | 2018-11-27 |
| 1043700032 | Bell Treatment Center | Clinic/Center | 1614 W Bell Rd, Phoenix, AZ 85023 | 2018-05-15 |
| 1518475755 | Ami Marie Podlesnik | Occupational Therapy Assistant | 14814 N 24th Dr Unit 2, Phoenix, AZ 85023 | 2018-01-22 |
| 1821515222 | In Touch Health & Wellness LLC | Chiropractor | 2306 W Greenway Rd, Phoenix, AZ 85023 | 2017-08-25 |
| 1184974115 | Craig R Kurtz | Physical Therapy Assistant | 722 W. Beck Lane, Phoenix, AZ 85023 | 2012-09-18 |
| 1578836078 | In Touch Chiropractic | Chiropractor | 2302 W. Greenway Rd., Phoenix, AZ 85023 | 2012-02-14 |
| 1336410448 | Daniel Jerome Shumway | Massage Therapist | 3033 W. Bell Rd Ste 101-a, Phoenix, AZ 85023 | 2012-01-20 |
| 1659640266 | Valley of The Sun Assisted Living Homes LLC | Custodial Care Facility | 18039 N. 19th Ln., Phoenix, AZ 85023 | 2011-12-28 |
| 1518110709 | Edward L Schwartz | Internal Medicine | 14259 North Coral Gables Drive, Phoenix, AZ 85023 | 2008-10-31 |
| 1477711299 | Kratu Inc | Early Intervention Provider Agency | 16036 N 11th Ave, Unit 1025, Phoenix, AZ 85023 | 2008-05-29 |
| Find all providers in zip 85023 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679070379 | Dessert Ridge Professional LLC | Pain Medicine | 21001 N Tatum Blvd Ste 78-1640, Phoenix, AZ 85050-5244 | 2018-04-09 |
| 1982124582 | Phoenix Pain Treatment Centers, Pllc | Pain Medicine | 9140 W Thomas Rd Ste B-106, Phoenix, AZ 85037-3378 | 2017-06-23 |
| 1831535350 | Ankit Patel | Pain Medicine | 1641 E Osborn Rd Ste 6, Phoenix, AZ 85016-7146 | 2013-05-13 |
| 1578181137 | Innovative Pain and Wellness Plc | Pain Medicine | 2340 E Beardsley Rd Ste 120, Phoenix, AZ 85024-1286 | 2020-07-10 |
| 1265052989 | Biltmore Med Group LLC | Pain Medicine | 3001 E Camelback Rd Ste 155, Phoenix, AZ 85016-4433 | 2020-04-22 |
| 1083246805 | Dv Professional Group LLC | Pain Medicine | 21001 N Tatum Blvd Ste 78-1640, Phoenix, AZ 85050-5244 | 2020-02-10 |
| 1043850324 | Tatum Professional Group LLC | Pain Medicine | 21001 N Tatum Blvd Ste 78-1640, Phoenix, AZ 85050-5244 | 2020-01-14 |
| 1720549090 | Virtuous Medical Associates, LLC | Pain Medicine | 2730 W Agua Fria Fwy Ste 103, Phoenix, AZ 85027-7202 | 2019-03-28 |
| 1114499472 | Iridium Pain Management Pllc | Pain Medicine | 4045 E Bell Rd Ste 147, Phoenix, AZ 85032-2239 | 2018-12-27 |
| 1013489350 | Pain Solutions of Arizona Pllc | Pain Medicine | 9140 W Thomas Rd Ste B-106, Phoenix, AZ 85037-3378 | 2018-12-27 |
| Find all providers in PHOENIX | ||||
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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.