JOHN D. PUTNAM (NPI# 1508087669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508087669 |
| Entity Type | Individual |
| Full Name | JOHN D. PUTNAM |
| Credential | M.D. |
| Practice Address |
611 31st Ave Sw Puyallup WA 98373 |
| Mailing Address |
Po Box 34581 Seattle WA 98124-1581 |
| Practice Telephone | 2534457100 |
| Mailing Telephone | 5092417349 |
| Mailing Fax Number | 5092417628 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2009-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | MD00016138 | WA | Allopathic & Osteopathic Physicians |
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
MD00016138 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8423402 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992093850 | John Putnam | Physical Therapist | 2512 Rochester Rd, Royal Oak, MI 48073-3635 | 2011-07-13 |
| 1720156862 | John Sheers Putnam | Orthotist | 4601 Hartford St, Abilene, TX 79605-4603 | 2006-11-30 |
| 1871569111 | John Leslie Putnam | Orthopaedic Surgery | 4350 S National Ave, Suite C200, Springfield, MO 65810-2607 | 2006-02-27 |
| Street Address |
611 31ST AVE SW |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992796650 | Im S Yi | Family Medicine | 611 31st Ave Sw, Puyallup, WA 98373-3723 | 2005-11-02 |
| 1154846335 | Kristina R Hansen | Nurse Practitioner | 611 31st Ave Sw, Puyallup, WA 98373-3723 | 2017-08-08 |
| 1740531086 | Jennifer Hrivnak | Registered Nurse | 611 31st Ave Sw, Ste C, Puyallup, WA 98373-3723 | 2012-09-26 |
| 1508151325 | Justin Smith | Pharmacist | 611 31st Ave Sw, Puyallup, WA 98373-3723 | 2011-06-09 |
| 1053605600 | Jennifer N Pense | Family Medicine | 611 31st Ave Sw, Ste C, Puyallup, WA 98373-3723 | 2011-05-31 |
| 1417109844 | Heather Dawn Hokanson | Nurse Practitioner | 611 31st Ave Sw, Ste C, Puyallup, WA 98373-3723 | 2008-10-16 |
| 1134308711 | Carolyn M. Haven | Physical Therapist | 611 31st Ave Sw, Puyallup, WA 98373-3723 | 2007-10-30 |
| 1790823763 | Ted T Trieu | Pharmacist | 611 31st Ave Sw, Puyallup, WA 98373-3723 | 2007-02-02 |
| 1003952581 | Dennis W Zimmermann | Pharmacist | 611 31st Ave Sw, Puyallup, WA 98373-3723 | 2007-01-30 |
| 1033265913 | Andrea E. Dunn | Physician Assistant | 611 31st Ave Sw, Puyallup, WA 98373-3723 | 2007-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494711 | Caroline Brown Corbett | Dentist | 8012 112th St Ct E #320, Puyallup, WA 98373 | 2020-10-13 |
| 1629615760 | Jessie Jean Waiamau-ariota | Counselor | Winds of Liberty, 702 S Hill Park Dr Ste 206, Puyallup, WA 98373 | 2019-12-09 |
| 1194369181 | Ruba H Tawil | Dentist | 12005 Meridian E # 102, Puyallup, WA 98373 | 2019-11-01 |
| 1336621267 | Cara Tseng | Physician Assistant | 2940 S Meridian, Suite 200, Puyallup, WA 98373 | 2018-09-06 |
| 1902390289 | Melissa M Jenkins | Registered Nurse | 2920 S Meridian Ste 100, Puyallup, WA 98373 | 2018-06-19 |
| 1881141323 | Linda Cole | Massage Therapist | 8409 204th Street East, Spanaway, WA 98373 | 2016-09-01 |
| 1861855389 | Christina Leigh Bailey | Optometrist | 3500 S Meridian Ste 926, Puyallup, WA 98373 | 2016-04-01 |
| 1518301951 | Bryan Michael Swanson | Dentist | 2910 S Meridian Ste 120, Puyallup, WA 98373 | 2013-04-27 |
| 1760720569 | Vankosin Hewitt | Massage Therapist | 13613 Meridian East # 260, Puyallup, WA 98373 | 2013-01-29 |
| 1558607705 | Rosie Martinez | Counselor | 12812 101st Avenue Courte E, Suite 202, Puyallup, WA 98373 | 2012-12-17 |
| Find all providers in zip 98373 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700373321 | Olympic Peninsula Health Services | Internal Medicine | 661 Ness Corner Rd, Port Hadlock, WA 98339-9410 | 2018-04-19 |
| 1275992752 | Puget Sound Center for Integrated Health LLC | Internal Medicine | 2302 S Union Ave, Suite C30, Tacoma, WA 98405-1300 | 2016-02-12 |
| 1144603853 | Vista Treatment Center | Internal Medicine | 6917 W Grandridge Blvd, Kennewick, WA 99336-7737 | 2015-06-30 |
| 1053357335 | Nicole M. Ingrisano | Internal Medicine | 5300 Tallman Ave Nw, Seattle, WA 98107-3932 | 2006-06-22 |
| 1255309035 | Wanjiku Njoroge | Internal Medicine | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2006-03-09 |
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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.