PUTNAM ORTHOPAEDIC CENTER, LLC (NPI# 1275677023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275677023 |
| Entity Type | Organization |
| Organization Name | PUTNAM ORTHOPAEDIC CENTER, LLC |
| Practice Address |
4350 S National Ave Suite C200 Springfield MO 65810-2607 |
| Practice Telephone | 4174471000 |
| Practice Fax Number | 4174476150 |
| Mailing Telephone | 4174471000 |
| Mailing Fax Number | 4174476150 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2012-12-06 |
| Authorized Official Name | DR. JOHN LESLIE PUTNAM (OWNER) |
| Authorized Official Telephone | 4174471000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
4350 S NATIONAL AVE SUITE C200 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65810-2607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710983291 | Armin Jared Wagman | Pediatrics | 4350 S National Ave, # C-100, Springfield, MO 65810-2607 | 2005-06-21 |
| 1245613322 | Robert L Denney | Clinical Neuropsychologist | 4350 S National Ave, Suite B116, Springfield, MO 65810-2607 | 2015-07-07 |
| 1932511060 | Raechelle Hansen | Dentist | 4350 S National Ave, Suite #c-112, Springfield, MO 65810-2607 | 2014-05-23 |
| 1740604974 | Jennifer Acord | Counselor | 4350 S National Ave, Suite B-116, Springfield, MO 65810-2607 | 2014-02-07 |
| 1891033973 | Andrew Christian Vandas | Physician Assistant | 4350 S National Ave, Suite C200, Springfield, MO 65810-2607 | 2013-01-23 |
| 1780839019 | Cecelia Harris | Physical Therapist | 4350 S National Ave, Suite B116, Springfield, MO 65810-2607 | 2008-12-01 |
| 1184875452 | Nancy Joan Dickey | Occupational Therapist | 4350 S National Ave, Suite B 116, Springfield, MO 65810-2607 | 2008-10-06 |
| 1134388242 | Dawn Marie Rodriguez | Counselor | 4350 S National Ave, Suite B-116, Springfield, MO 65810-2607 | 2008-06-04 |
| 1538357074 | Park Plaza Physical Therapy Limited Partnership | Durable Medical Equipment & Medical Supplies | 4350 S National Ave, Suite A108, Springfield, MO 65810-2607 | 2007-10-10 |
| 1295921179 | Nancy Jo Mcbride | Counselor | 4350 S National Ave, Suite B-116, Springfield, MO 65810-2607 | 2007-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508373838 | Sunterra Springfield Oc, LLC | Skilled Nursing Facility | 4935 S National Ave, Springfield, MO 65810 | 2018-01-09 |
| 1982119392 | Boyoung Park | Specialist/Technologist | 4355 S National Ave Apt 905, Springfield, MO 65810 | 2017-12-07 |
| 1578086310 | Missouri Telerad LLC | Radiology | 5117 South Neffleton Avenue, Springfiled, MO 65810 | 2017-07-24 |
| 1245597285 | Intrepid of Missouri, Inc. | Hospice Care, Community Based | 4305 S. National Ave., Springfield, MO 65810 | 2012-04-16 |
| 1700199668 | Telerad of Mo Account Management, LLC | Radiology | 5117 S. Neffleton Ave, Springfield, MO 65810 | 2010-07-21 |
| 1427286251 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 745 W El Camino Alto Drive, Springfield (s), MO 65810 | 2009-07-01 |
| 1033344304 | Teresa Mary Kaelin | Occupational Therapist | 3291 W. Ridge Run, Springfield, MO 65810 | 2009-05-15 |
| 1538366448 | Rani K Nair | Internal Medicine | 3231 S National Mercy Endocrineology, Ste 440, Springfield, MO 65810 | 2007-07-03 |
| 1467672519 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 4955 S. National Ave., Unit A, Springfield, MO 65810 | 2007-04-30 |
| 1336161983 | Leo Allan Tokarczyk | Dentist | 4777 S National Ave, Springfield, MO 65810 | 2006-07-24 |
| Find all providers in zip 65810 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154321222 | Piero Capecci | Orthopaedic Surgery | 800 N 1st St, Springfield, IL 62702-3719 | 2005-07-29 |
| 1790128387 | Dane Jack Church | Orthopaedic Surgery | 1301 S Koke Mill Rd, Springfield, IL 62711-9252 | 2013-04-12 |
| 1265701304 | Tattnall Hospital Company LLC | Orthopaedic Surgery | 459 Ga Highway 119 S, Springfield, GA 31329-3021 | 2011-12-19 |
| 1669457917 | William T Wester | Orthopaedic Surgery | 3555 S National Ave, Springfield, MO 65807-7310 | 2005-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043622566 | R&r 1 LLC | Orthopaedic Surgery | 9272 Caddyshack Cir, Saint Louis, MO 63127-1932 | 2014-06-02 |
| 1063701647 | John Paul Eggers | Orthopaedic Surgery | 2790 Clay Edwards Dr # Dr600, Kansas City, MO 64116-3276 | 2011-04-04 |
| 1194983833 | Roberte Kuhlman | Orthopaedic Surgery | 12 Upper Barnes, St Louis, MO 63124 | 2008-05-29 |
| 1043340854 | Jeffrey Aaron Krempec | Orthopaedic Surgery | 2790 Clay Edwards Dr Ste 600, Kansas City, MO 64116-3274 | 2007-03-07 |
| 1104833540 | James A Keeney | Orthopaedic Surgery | 1100 Virginia Avenue, Columbia, MO 65212-0001 | 2006-08-01 |
| 1487097044 | Rajesh Rangarajan | Orthopaedic Surgery | 2301 Holmes St, Kansas City, MO 64108 | 2013-04-14 |
| 1962764183 | Charity Ann Jacobs | Orthopaedic Surgery | 1723 Broadway St Ste 315, Cape Girardeau, MO 63701-4556 | 2012-06-13 |
| 1720354806 | Charles Murray Lawrie | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2012-03-22 |
| 1396908042 | Muyibat A Adelani | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2008-07-02 |
| 1386778660 | Orthopedic Care of St. Louis, PC | Orthopaedic Surgery | 1040 N Mason Rd, Suite G03, Saint Louis, MO 63141-6399 | 2007-03-16 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 65810 |
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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.