ANDREW TAYLOR PUTNEY (NPI# 1912973942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912973942 |
| Entity Type | Individual |
| Full Name | ANDREW TAYLOR PUTNEY |
| Credential | MD |
| Practice Address |
2901 Hunters Trl Portage WI 53901-3403 |
| Mailing Address |
Po Box 301 Portage WI 53901-0301 |
| Practice Telephone | 6087425518 |
| Practice Fax Number | 6087424087 |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2016-02-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 72259 | MA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 57658-20 | WI | Allopathic & Osteopathic Physicians |
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
57658-20 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
2901 HUNTERS TRL |
| City | PORTAGE |
| State | WI |
| Zip Code | 53901-3403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164086112 | Claire A Staley | Social Worker | 2901 Hunters Trl, Portage, WI 53901-3403 | 2019-04-25 |
| 1467826990 | Renee Birkholz | Counselor | 2901 Hunters Trl, Portage, WI 53901-3403 | 2015-11-20 |
| 1710363031 | Tomi Randall | Counselor | 2901 Hunters Trl, Portage, WI 53901-3403 | 2015-08-10 |
| 1144618604 | Kristine G Schmitt | Counselor | 2901 Hunters Trl, Portage, WI 53901-3403 | 2015-01-06 |
| 1700287216 | Jill Dickson-baures | Psychologist | 2901 Hunters Trl, Portage, WI 53901-3403 | 2014-09-16 |
| 1376944504 | Meredith Sullivan | Counselor | 2901 Hunters Trl, Portage, WI 53901-3403 | 2014-09-08 |
| 1619377223 | Bjorn Hanson | Psychologist | 2901 Hunters Trl, Portage, WI 53901-3403 | 2014-09-02 |
| 1649697988 | Elizabeth Abbs Erickson | Counselor | 2901 Hunters Trl, Portage, WI 53901-3403 | 2014-03-25 |
| 1124259841 | Robin A Deethardt | Counselor | 2901 Hunters Trl, Portage, WI 53901-3403 | 2009-07-29 |
| 1881823912 | Dorothy Mae Mccurdy | Counselor | 2901 Hunters Trl, Portage, WI 53901-3403 | 2009-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740710748 | Robert James Corliss | Internal Medicine | St. Vincent Fmc, 140east Cook St., Portage, WI 53901 | 2017-06-13 |
| 1639328867 | Casey Jo Ambort | Speech-Language Pathologist | 626 East Slifer St, Portage, WI 53901 | 2008-09-11 |
| 1871767400 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 132 W. Cook St., Portage, WI 53901 | 2008-04-15 |
| 1881872158 | Marta Jean Jindra | Physical Therapist | 626 E Slifer Street, Portage, WI 53901 | 2008-02-08 |
| 1699953976 | Lana Marie Edwards | Speech-Language Pathologist | 626 East Slifer Street, Portage, WI 53901 | 2008-02-08 |
| 1134314552 | Kristina Hellenbrand | Physical Therapist | 2639 New Pinery Road, Suite 2, Portage, WI 53901 | 2007-09-10 |
| 1689727810 | Gregory Allan Bindl | Chiropractor | 2121new Pinery Rd, Portage, WI 53901 | 2007-01-19 |
| 1720149156 | Timothy J Rosin Dds Sc | Dentist | 2570 New Pinery Rd, Portage, WI 53901 | 2006-12-12 |
| 1710083779 | Currani Seubert Dental Office LLC | Dentist | 260 W Cook St, Portage, WI 53901 | 2006-09-16 |
| 1225090525 | University of Wisconsin Medical Foundation Inc | Durable Medical Equipment & Medical Supplies | 2977 Cty Hwy Cx, Portage, WI 53901 | 2006-04-04 |
| Find all providers in zip 53901 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740316181 | Neville Winston Duncan | Family Medicine | 1134 W North Ave Fl 2, Milwaukee, WI 53205 | 2007-02-27 |
| 1689627507 | Kevin A. Weidman | Family Medicine | 950 N. 35th Street, Milwaukee, WI 53208 | 2006-05-19 |
| 1083680417 | Siamak Arassi | Family Medicine | 19115 W Capitol Dr, 117, Brookfield, WI 53045 | 2006-02-26 |
| 1003449752 | Out Health Inc. | Family Medicine | 5231 University Ave, Madison, WI 53705-1361 | 2020-02-20 |
| 1669032363 | Msn Care | Family Medicine | 9330 W Lincoln Ave Ste 10, West Allis, WI 53227-2300 | 2019-06-17 |
| 1245779578 | Milwaukee Recovery Associates LLC | Family Medicine | 1516 W Mequon Rd Ste 103, Mequon, WI 53092 | 2017-02-20 |
| 1902342868 | Hanna Medical Clinic Sc | Family Medicine | 5310 Valley Ridge Plz, Middleton, WI 53562-2053 | 2017-01-16 |
| 1619355351 | Sacred Heart Hospital of The Hospital Sisters- 3rd Order of St Francis | Family Medicine | 900 W Clairemont Ave, Eau Claire, WI 54701-6122 | 2015-05-14 |
| 1548606767 | Byron Health and Healing Center | Family Medicine | 2405 Northwestern Ave, Lower Level, Ste 15, Racine, WI 53404-2534 | 2013-05-14 |
| 1033282967 | Jose G. Araujo | Family Medicine | 11803 W North Ave, Wauwatosa, WI 53226-2077 | 2006-11-16 |
| 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.