TIMOTHY A PUCKETT (NPI# 1447228952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447228952 |
| Entity Type | Individual |
| Full Name | TIMOTHY A PUCKETT |
| Credential | MD |
| Practice Address |
825 Ne 10th St Oupb1300 Oklahoma City OK 73104-5417 |
| Mailing Address |
1122 Ne 13th St Ori236 Oklahoma City OK 73117-1039 |
| Practice Telephone | 4052716667 |
| Mailing Telephone | 4052711515 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207X00000X | Orthopaedic Surgery | 18047 | OK | Allopathic & Osteopathic Physicians |
| X | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
18047 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184910507 | Timothy O'dell Puckett | Physical Therapist | 7007 Bandera Rd Ste 3, Leon Valley, TX 78238-1264 | 2011-06-23 |
| 1144220013 | Timothy Puckett | Chiropractor | 809 E Liberty St, York, SC 29745-1661 | 2005-07-21 |
| 1679598213 | Timothy C Puckett | Physician Assistant | 1968 Peachtree Road Nw, Atlanta, GA 30309-1281 | 2006-07-13 |
| Street Address |
825 NE 10TH ST OUPB1300 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73104-5417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629071543 | Sheila Algan | Orthopaedic Surgery | 825 Ne 10th St, Oupb1300, Oklahoma City, OK 73104-5417 | 2005-05-24 |
| 1356865414 | Elisabeth Ann Okroi | Nurse Practitioner | 825 Ne 10th St, Oklahoma City, OK 73104-5417 | 2017-07-31 |
| 1669900825 | Ashley Lynn Greenwood | Student in an Organized Health Care Education/Training Program | 825 Ne 10th St, Oklahoma City, OK 73104-5417 | 2017-05-31 |
| 1588102305 | Tonya Lynette Gollahalli | Physician Assistant | 825 Ne 10th St, Oupb 4e, Oklahoma City, OK 73104-5417 | 2017-02-01 |
| 1003362658 | Brandi Dickey | Registered Nurse | 825 Ne 10th St, Suite 2b, Oklahoma City, OK 73104-5417 | 2016-09-01 |
| 1366892424 | Physician Management Services of Oklahoma, LLC | Family Medicine | 825 Ne 10th St, Oklahoma City, OK 73104-5417 | 2016-06-20 |
| 1588029383 | Gina Nicole Maloney | Physician Assistant | 825 Ne 10th St, Suite 4200, Oklahoma City, OK 73104-5417 | 2015-12-21 |
| 1184049975 | Oklahoma Sleep Institute Clinic - Up | Durable Medical Equipment & Medical Supplies | 825 Ne 10th St, # 4b, Oklahoma City, OK 73104-5417 | 2014-03-03 |
| 1508205204 | Catiele Antunes | Internal Medicine | 825 Ne 10th St, Oklahoma City, OK 73104-5417 | 2013-06-17 |
| 1134465081 | Taryn Smith | Physician Assistant | 825 Ne 10th St, Ste 5400, Oklahoma City, OK 73104-5417 | 2012-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356979645 | Kayla Campbell | Dietitian, Registered | Stephenson Cancer Center, 800 Ne 10th Street, Oklahoma City, OK 73104 | 2020-03-31 |
| 1447715453 | Roman Michael Garcia | Dentist | Ou Children's Physicians - Dental Clinic, 1200 Children's Ave, 8f, Oklahoma City, OK 73104 | 2019-02-04 |
| 1265902340 | Jenna Lyn Celii | Registered Nurse | 920 Sl Young Blvd Ste 1140, Oklahoma City, OK 73104 | 2018-11-30 |
| 1407337462 | Opus Medical, LLC | Psychiatry & Neurology | 4 Ne 10th St Suite 467, Oklahoma City, OK 73104 | 2018-08-27 |
| 1316433295 | Syed Muhammad Shakaib Quadri | Pathology | 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 | 2018-07-03 |
| 1447746417 | Nimrah Bader | Internal Medicine | 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 | 2018-07-02 |
| 1417440793 | Helen Judith Turkson Apetor | Nurse Practitioner | 700 Ne 13th, Oklahoma City, OK 73104 | 2018-06-11 |
| 1003307935 | Mary Katlin Nixon | Obstetrics & Gynecology | 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 | 2018-05-26 |
| 1558851220 | Bryce Yohannan | Student in an Organized Health Care Education/Training Program | 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 | 2018-05-17 |
| 1346746690 | Kacy Anne Richburg | Orthopaedic Surgery | 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 | 2018-04-04 |
| Find all providers in zip 73104 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891323143 | Austin James Cantrell | Orthopaedic Surgery | 800 Stanton L Young Blvd # 3400, Oklahoma City, OK 73104-5018 | 2020-03-31 |
| 1346746690 | Kacy Anne Richburg | Orthopaedic Surgery | 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 | 2018-04-04 |
| 1952764169 | Doc LLC | Orthopaedic Surgery | 3130 Sw 89th St Ste 200e, Oklahoma City, OK 73159 | 2016-04-04 |
| 1740531698 | Oklahoma Sports and Orthopedics Institute Pllc | Orthopaedic Surgery | 13401 N. Western. Ave., Ste. 301, Oklahoma City, OK 73134 | 2012-10-01 |
| 1558623934 | Brian Alan Chenoweth | Orthopaedic Surgery | 825 Ne 10th St # 1c, Oklahoma City, OK 73104-5417 | 2012-06-12 |
| 1295000560 | Keivan Abtahi | Orthopaedic Surgery | 3433 Nw 56th St Ste 950, Oklahoma City, OK 73112 | 2012-03-19 |
| 1639455975 | Ralph Edward Payne Jr. | Orthopaedic Surgery | 12604 Maple Ridge Rd., Oklahoma City, OK 73120 | 2011-11-01 |
| 1972807667 | Ghazi M. Rayan, Md, Inc. | Orthopaedic Surgery | 3366 Nw Expressway Ste 700, Oklahoma City, OK 73112-4439 | 2011-01-10 |
| 1225292444 | Ryan Lee Nelson | Orthopaedic Surgery | 9800 Broadway Ext Ste 203, Oklahoma City, OK 73114-6304 | 2008-07-16 |
| 1205096369 | Kevin T Grosshans | Orthopaedic Surgery | 920 Stanton L Young Blvd # 1380, Oklahoma City, OK 73104-5020 | 2008-06-12 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73104 |
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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.