DR. MICHAEL STUART PUTLAND (NPI# 1679576615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679576615 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL STUART PUTLAND |
| Credential | M.D. |
| Practice Address |
14200 W Fillmore St Goodyear AZ 85338-3005 |
| Practice Telephone | 6232073000 |
| Mailing Telephone | 6232073000 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2010-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
ME88971 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000925383B | 05 | |
| FL | MEDICARE RAIL ROAD | P00625816 | 01 |
| FL | MEDICARE GIN | AJ564 | 01 |
| FL | INDIVIDUAL BCBS ID NUMBER | 82513 | 01 |
| FL | 268691100 | 05 | |
| FL | GROUP BCBS ID NUMBER | 99039 | 01 |
| Street Address |
14200 W FILLMORE ST |
| City | GOODYEAR |
| State | AZ |
| Zip Code | 85338-3005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942511241 | Compassionate Beauty | Prosthetic/Orthotic Supplier | 14200 W Fillmore St, Goodyear, AZ 85338-3005 | 2010-07-01 |
| 1780714006 | Chenery J Kinemond | Pharmacist | 14200 W Fillmore St, Retail Pharmacy, Goodyear, AZ 85338-3005 | 2007-03-06 |
| 1538221262 | Casandra Jayde Kinemond | Pharmacist | 14200 W Fillmore St, Goodyear, AZ 85338-3005 | 2006-12-16 |
| 1306880331 | Daniel Nixon | Internal Medicine | 14200 W Fillmore St, Goodyear, AZ 85338-3005 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295226884 | Caroline Chang | Dentist | 15530 W Roosevelt St Ste E106, Goodyear, AZ 85338 | 2018-05-20 |
| 1609376714 | Rosanna Alvarez | Licensed Practical Nurse | 17432 W Elaine Dr, Goodyear, AZ 85338 | 2018-02-15 |
| 1023534419 | Jennifer Elizabeth Lawrence Dixon | Social Worker | 319 N Lichfield Rd, Suite 105, Goodyear, AZ 85338 | 2017-08-17 |
| 1346774916 | Vanessa Castillo | Specialist/Technologist | 18035 W. Yuma Rd, Goodyear, AZ 85338 | 2017-04-20 |
| 1386008076 | Hope Behavioral Health Residential Care | Substance Abuse Rehabilitation Facility | 15985 W.williams Street, Goodyear, AZ 85338 | 2016-04-08 |
| 1952760241 | Jeremy John Abdul-haqq | Dentist | 15661 W Roosevelt St Ste 102, Goodyear, AZ 85338 | 2016-02-16 |
| 1417206897 | Kelly Renee Filo | Occupational Therapy Assistant | 10189 S. Hacienda Dr., Goodyear, AZ 85338 | 2012-08-31 |
| 1194015545 | Nancy Ann Amore | Licensed Practical Nurse | 15578 W Yuma Road, Goodyear, AZ 85338 | 2011-04-19 |
| 1932409208 | Chung Counihan | Pharmacist | 9890 S Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
| 1053611327 | Traven Anderson | Pharmacist | 9890 South Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
| Find all providers in zip 85338 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902448566 | Leading Healthcare Clinic of Goodyear LLC | Family Medicine | 13555 W Mcdowell Rd Ste 205, Goodyear, AZ 85395-2626 | 2019-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326876 | Nicole Francisca Roberts | Family Medicine | 1449 S Monterey St, Gilbert, AZ 85233-8436 | 2020-11-08 |
| 1508496167 | Claudia Macias | Family Medicine | 4350 N 19th Ave Ste 3, Phoenix, AZ 85015-4602 | 2020-01-23 |
| 1992353312 | Az Premier Mobile Providers | Family Medicine | 2737 E Arizona Biltmore Cir Unit 30, Phoenix, AZ 85016-2170 | 2019-08-28 |
| 1558916247 | Shiny Susan Thomas | Family Medicine | 7615,east Baseline Road, Mesa, AZ 85209 | 2019-08-08 |
| 1508338732 | Erin Leah Mickelson | Family Medicine | 1542 Marvin Gardens Ln, Prescott, AZ 86301-5528 | 2018-12-28 |
| 1437698107 | Edward A Carrington Md Pllc | Family Medicine | 2600 E Southern Ave Ste F4, Tempe, AZ 85282-7626 | 2017-02-14 |
| 1396123733 | Vital Health Care LLC | Family Medicine | 7707 W Deer Valley Rd Ste 115, Peoria, AZ 85382-2101 | 2015-05-18 |
| 1609267038 | Annual Wellness Centers LLC | Family Medicine | 116 Lake Havasu Ave S Ste 103, Lake Havasu City, AZ 86403-0811 | 2015-02-06 |
| 1518386929 | Valor Health Services, LLC | Family Medicine | 2990 N Campbell Avenue, Suite 230, Tucson, AZ 85719 | 2014-04-14 |
| 1972940237 | Arizona City Health Associates, Inc. | Family Medicine | 13060 South Sunland Gin Road, Arizona City, AZ 85123 | 2013-05-28 |
| Find all providers with the same taxonomy | ||||
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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.