PAUL LAVAL PUCKETT (NPI# 1407961410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407961410 |
| Entity Type | Individual |
| Full Name | PAUL LAVAL PUCKETT |
| Credential | PAC |
| Practice Address |
4215 Joe Ramsey Blvd Greenville TX 75403 |
| Mailing Address |
2464 Fm 2820 Summer TX 75486 |
| Practice Telephone | 9034085000 |
| Practice Fax Number | 2147122487 |
| Mailing Telephone | 9037841291 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA02778 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174502017 | Paul Andrew Puckett | Orthopaedic Surgery | 2360 Mullan Rd, Suite C, Missoula, MT 59808-1811 | 2006-01-10 |
| Street Address |
4215 JOE RAMSEY BLVD |
| City | GREENVILLE |
| State | TX |
| Zip Code | 75403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578558763 | Hunt Memorial Hospital District | Clinic/Center | 4215 Joe Ramsey Blvd, Po Drawer 1059, Greenville, TX 75403-1059 | 2005-09-14 |
| 1679728604 | Viet Phuong | Surgery | 4215 Joe Ramsey Blvd, Suite 220, Greenville, TX 75402 | 2008-11-18 |
| 1124216833 | Dana Patrice Mcdade | Occupational Therapist | 4215 Joe Ramsey Blvd, Greenville, TX 75401 | 2007-10-09 |
| 1699981720 | Texas Em-i Medical Services, Pa | Internal Medicine | 4215 Joe Ramsey Blvd, Greenville, TX 75401 | 2007-05-15 |
| 1891718839 | Joseph Tracy Bleier | Emergency Medicine | 4215 Joe Ramsey Blvd, Emergency Department, Greenville, TX 75402 | 2006-07-25 |
| 1154386803 | Hi-line Radiology | Radiology | 4215 Joe Ramsey Blvd, Greenville, TX 75403 | 2006-04-18 |
| 1306801063 | Apex Radiology Pa | Radiology | 4215 Joe Ramsey Blvd, Greenville, TX 75403 | 2006-04-18 |
| 1700840584 | Earl Day Tyler | Radiology | 4215 Joe Ramsey Blvd, Greenville, TX 75403 | 2006-04-17 |
| 1861451304 | On-anong Trisarnsri | Pathology | 4215 Joe Ramsey Blvd, Greenville, TX 75401 | 2006-03-22 |
| 1679532451 | Moushira Anwar Ebrahim | Pathology | 4215 Joe Ramsey Blvd, Greenville, TX 75401 | 2006-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578798468 | Pediatric Radioanesthesia Supply | Durable Medical Equipment & Medical Supplies | 3200 Broadway Blvd, Suite 350, Garland, TX 75403 | 2009-05-20 |
| 1700196144 | Viktoria Y Morris | Nurse Practitioner | 4311 Wesley Street, Greenville, TX 75403-1908 | 2010-10-19 |
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053924977 | Caitlyn N Jetter | Physician Assistant | 7238 N State Route 49, Greenville, OH 45331-8302 | 2020-08-29 |
| 1720618291 | Kaitlin Stover | Physician Assistant | 3444 Briarcliff Dr Apt K, Greenville, NC 27834-5419 | 2020-01-23 |
| 1962044321 | Tyler Robert Tefft | Physician Assistant | 25 Draper St Apt 129, Greenville, SC 29611-4786 | 2019-10-17 |
| 1780157842 | Briana Welch Denton | Physician Assistant | 2101 W Arlington Blvd # 100, Greenville, NC 27834-5758 | 2019-01-10 |
| 1548732027 | Jennifer Pedersen | Physician Assistant | 14314 Canter Trl, Greenville, SC 29609-0964 | 2018-12-21 |
| 1972089092 | Sarah Eileen Mann | Physician Assistant | 315 Greenville Blvd Se Ste 100, Greenville, NC 27858-5733 | 2018-07-11 |
| 1134588478 | Sarah Roeser | Physician Assistant | 2090 W Arlington Blvd Ste B, Greenville, NC 27834-5727 | 2016-02-15 |
| 1992177760 | Robert Chapman | Physician Assistant | 126 Milestone Way, Greenville, SC 29615-5065 | 2015-10-20 |
| 1497137756 | Alexandra Brooks | Physician Assistant | 2706 Aileen St Ste B, Greenville, TX 75402-6486 | 2015-06-23 |
| 1558776633 | David Jonathan Cutter | Physician Assistant | 1202 W Oak St Ste 200, Greenville, MI 48838-2155 | 2014-06-26 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 75403 |
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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.