DR. MICHAEL S PUTHOFF (NPI# 1407823842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407823842 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL S PUTHOFF |
| Credential | MD |
| Practice Address |
4100 W Third St Dayton OH 45428 |
| Mailing Address |
4100 W Third St Dayton Va Medical Center Dayton OH 45428 |
| Practice Telephone | 9372675369 |
| Practice Fax Number | 9371675316 |
| Mailing Telephone | 9372675369 |
| Mailing Fax Number | 9371675316 |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2017-09-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35077226 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2604891 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033385554 | Michael Leonard Puthoff | Physical Therapist | 518 W Locust St, Physical Therapy Department, Davenport, IA 52803-2829 | 2008-05-05 |
| Street Address |
4100 W THIRD ST |
| City | DAYTON |
| State | OH |
| Zip Code | 45428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730743824 | Nataly Yokhanis | Student in an Organized Health Care Education/Training Program | 4100 W Third St, Dayton, OH 45428 | 2019-04-24 |
| 1235354929 | Stephanie N Lee | Radiologic Technologist | 4100 W Third St, Dayton, OH 45429 | 2007-04-16 |
| 1821192394 | Bridget Catherine Pellegrino | Dietitian, Registered | 4100 W Third St, Dayton, OH 45428-9000 | 2006-09-12 |
| 1497860597 | Laetitia Festus-abibo | Family Medicine | 4100 W Third St, Vamc, Dayton, OH 45428 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407414527 | Punyawat Laohakanjanasiri | Dentist | Dayton Va Medical Center/dental Services, 4100 W Third, Dayton, OH 45428 | 2019-06-04 |
| 1942716303 | John Korea Lee | Pharmacist | 4100 W. 3rd Street, Attn: Pharmacy Call Center 408pcc, Dayton, OH 45428 | 2017-12-21 |
| 1366876138 | Amber J Enterline | Pharmacist | 4100 W 3rd Street, Attn Pharmacy, Dayotn, OH 45428 | 2013-08-28 |
| 1114155793 | Jeffrey Michael Munn | Dentist | 4100 West 3rd St., Dayton V.a. Medical Center, Dayton, OH 45428 | 2009-06-23 |
| 1558516724 | Tawnyell Nikko Culpepper | Social Worker | 4100 Va Medical Center, Social Work Department Suite 122, Trotwood, OH 45428 | 2008-12-01 |
| 1255586376 | Prasad V Venkat | Physical Therapist | 4100 W.third Street, Dayton, OH 45428 | 2008-11-18 |
| 1457435687 | Reba E Crowell | Nurse Practitioner | 4100 West 3rd Street, Dayton, OH 45428 | 2006-10-24 |
| 1386728632 | Alicia Joann Weekes-johnson | Counselor | 4100 W Third St. Mhlc Bldg 302, Veterans Administration Medical Center, Dayton, OH 45428 | 2006-10-24 |
| 1497843049 | Margaret Irene Kruckemeyer | Nurse Practitioner | 4100 West Third Street (117), Va Medical Center, Dayton, OH 45428 | 2006-10-10 |
| 1003902545 | Mohamed Elmouelhi | Internal Medicine | 4100 W.third St., Dayton Vamc (11c), Dayton, OH 45428 | 2006-10-04 |
| Find all providers in zip 45428 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629616891 | Nicole Elizabeth Miller | Family Medicine | 7282 Chateauroux Dr Apt A, Dayton, OH 45459-5382 | 2019-12-18 |
| 1770095382 | Nancy Louise Hall | Family Medicine | 1 Elizabeth Pl Ste 260, Dayton, OH 45417-3445 | 2017-11-05 |
| 1487181574 | Caitlyn Anne Frantz | Family Medicine | 6255 Chambersburg Rd Ste 2, Dayton, OH 45424 | 2017-05-19 |
| 1689054223 | Jessica Ezinne Ugwu | Family Medicine | 30 E Apple St., Suite Nw 3300, Dayton, OH 45409 | 2015-06-08 |
| 1215314125 | Tracy Fong | Family Medicine | 2261 Philadelphia Drive, Dayton, OH 45406 | 2015-04-29 |
| 1730519059 | Medstaffpc | Family Medicine | 119 1/2 Bryan St, Dayton, TX 77535-2661 | 2013-11-22 |
| 1962844480 | Claire Eleanore Cappel | Family Medicine | 4266 Upham Rd, Dayton, OH 45429-1620 | 2013-07-25 |
| 1851662092 | New Phoenix | Family Medicine | 11161 Ashbury Meadows Dr, Dayton, OH 45458-6403 | 2012-01-19 |
| 1700165081 | Torben Svendsen | Family Medicine | 7794 Rhea County Hwy Ste 102, Dayton, TN 37321-5981 | 2011-08-04 |
| 1104124221 | Kerri Lyn Gibson | Family Medicine | 4100 W 3rd St Bldg 340, Dayton, OH 45428-9000 | 2011-03-14 |
| Find all providers in DAYTON | ||||
Please comment or provide details below to improve the information on DR. MICHAEL S PUTHOFF.
| 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.