DR. ALAN PUDDY (NPI# 1891019972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891019972 |
| Entity Type | Individual |
| Full Name | DR. ALAN PUDDY |
| Credential | M.D. |
| Practice Address |
4102 Pinion Drive 10th Medical Group Usaf Academy CO 80840 |
| Mailing Address |
4102 Pinion Drive 10th Medical Group Usaf Academy CO 80840-2502 |
| Practice Telephone | 7193335962 |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2018-05-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 26530 | NE | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Raf Lakenheath 48 Mdg/sghc, Unit 5115, Apo, AE 094615115 | 3142268269 |
| Street Address |
4102 PINION DRIVE 10TH MEDICAL GROUP |
| City | USAF ACADEMY |
| State | CO |
| Zip Code | 80840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992799092 | Patrice Flynn | Physical Therapist | 4102 Pinion Drive, 10th Medical Group, Usaf Academy, CO 80840 | 2005-09-02 |
| 1548877335 | Atinuke Oluwatimilehin | Pharmacist | 4102 Pinion Drive, Attn: 10th Medical Group/sghc, Usaf Academy, CO 80840-2502 | 2020-09-25 |
| 1558841833 | Jeremiah Gossett | Dentist | 4102 Pinion Drive, 10th Medical Group, Usaf Academy, CO 80840 | 2018-08-16 |
| 1134460405 | Andrew Phillip Benfield | Dentist | 4102 Pinion Drive, 10th Medical Group, Usaf Academy, CO 80840-2502 | 2013-03-11 |
| 1174840482 | Brian James Lewis | Radiology | 4102 Pinion Drive, 10th Medical Group, Usaf Academy, CO 80840-2502 | 2010-04-26 |
| 1750546289 | Douglas John Bird | Physician Assistant | 4102 Pinion Drive, 10th Medical Group, Usaf Academy, CO 80840-2502 | 2008-07-24 |
| 1235351842 | Corey Munro | Pharmacist | 4102 Pinion Drive, Ste 100, Usaf Academy, CO 80840 | 2007-05-03 |
| 1144354374 | Thomas John Puskas | Family Medicine | 4102 Pinion Drive, Usaf Academy, CO 80840 | 2007-03-16 |
| 1316019383 | Daniel J Watson | Physical Therapist | 4102 Pinion Drive, 10th Medical Group, Usaf Academy, CO 80840 | 2006-11-15 |
| 1598720104 | Brian D Lanier | Social Worker | 4102 Pinion Drive, Suite 100, Usaf Academy, CO 80840 | 2006-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114554011 | Christina Dang | Student in an Organized Health Care Education/Training Program | 4355-b Faculty Drive, Us Air Force Academy, CO 80840 | 2020-03-23 |
| 1053893123 | Glen William Myers | Dentist | 2355-b Faculty Dr, Usaf Academy, Colorado, Usafa, AA 80840 | 2018-09-05 |
| 1225374499 | National Vision Optical | Technician/Technologist | Bldg 5136, Community Center Dr., Us Air Force Academy, CO 80840 | 2012-12-17 |
| 1366758906 | Brett Michael Germain | Dentist | 2355-b Faculty Dr., Usaf Academy, CO 80840 | 2010-08-20 |
| 1518289115 | Renee Jean Cole | Military Health Care Provider | 4515 East Juniper Dr Unit A, Usaf Academy, CO 80840 | 2010-02-23 |
| 1063655140 | Gregory S. Brooks | Military Health Care Provider | 2355 Faculty Dr Suite 1n207, 10th Amds, Usafa, CO 80840 | 2009-04-20 |
| 1801092390 | Bryant Mcneill | Internal Medicine | 4102 Pinion 10mdg, Usaf Academy, CO 80840 | 2007-06-22 |
| 1447384383 | Francis Crosby Jr. | Physician Assistant | 4102 Pinon Drive, Usaf Academy, CO 80840 | 2007-03-15 |
| 1023115870 | Evans Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 5136 Eagle Dr, Ste 102, Usaf Academy, CO 80840 | 2006-09-20 |
| 1669582722 | Scott Layle Carbaugh | Physician Assistant | 4102 Pinion Dirve, Usaf Academy, CO 80840 | 2006-08-30 |
| Find all providers in zip 80840 | ||||
| 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 |
|---|---|---|---|---|
| 1508203449 | Rebecca Lynn Sanderson | Orthopaedic Surgery | 4102 Pinion Dr, Usaf Academy, CO 80840 | 2013-06-02 |
| 1841463882 | William Roberts Howarth | Orthopaedic Surgery | 4102 Pinion Dr, Usaf Academy, CO 80840-2502 | 2008-04-10 |
| 1265612279 | Richard Judd Robins | Orthopaedic Surgery | 4102 Pinion Dr, Usaf Academy, CO 80840-2502 | 2007-11-07 |
| 1801920517 | Ross Aron Schumer | Orthopaedic Surgery | 4102 Pinion Dr, Usaf Academy, CO 80840-2502 | 2007-03-15 |
| 1760554091 | Erik V Nott | Orthopaedic Surgery | 4102 Pinion Dr, 10mdg, Usaf Academy, CO 80840-2502 | 2006-11-14 |
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| 1508475278 | Catholic Health Initiatives Colorado | Orthopaedic Surgery | 1263 Lake Plaza Dr Ste 210a, Colorado Springs, CO 80906-3564 | 2020-07-28 |
| 1518576867 | Poudre Valley Medical Group, LLC | Orthopaedic Surgery | 333 North West Street, Woodland Park, CO 80863 | 2020-07-23 |
| 1790393635 | Vail Summit Orthopaedics | Orthopaedic Surgery | 360 Peak One Dr Ste 180, Frisco, CO 80443-5948 | 2020-07-16 |
| 1942818125 | Vail Summit Orthopaedics | Orthopaedic Surgery | 1140 Edwards Village Blvd Ste B-105, Edwards, CO 81632-5525 | 2020-07-14 |
| Find all providers with the same taxonomy | ||||
| City | USAF ACADEMY |
| Zip Code | 80840 |
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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.