Michael L Puckett (NPI# 1043284235, PAC ID# 7012901291) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1043284235 |
| PAC ID by PECOS | 7012901291 |
| Professional Enrollment ID | I20040412000594 |
| Full Name | Michael L Puckett |
| Organization Legal Name | SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP INC |
| Address |
751 Medical Ctr Ct Chula Vista CA 91911-6617 |
| Phone Number | 6194823639 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 0143134353 |
| Number of Group Practice Members | 70 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050100 | SHARP MEMORIAL HOSPITAL |
| 050222 | SHARP CHULA VISTA MEDICAL CENTER |
| 050234 | SHARP CORONADO HOSPITAL AND HLTHCR CTR |
| Address | Phone | Organization |
|---|---|---|
| 751 Medical Ctr Ct, Chula Vista, CA 91911-6617 | 6194823639 | SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP INC |
| 765 Medical Ctr Ct, Chula Vista, CA 91911-6600 | 6193976577 | SAN DIEGO IMAGING CHULA VISTA LLC |
| 250 Prospect Pl, Coronado, CA 92118-1943 | 6195223721 | SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP INC |
| 3075 Health Ctr Dr, San Diego, CA 92123-2773 | 8589395100 | SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP INC |
| 3075 Health Ctr Dr, San Diego, CA 92123-2773 | 8589394550 | SHARP AND CHILDREN'S MRI CENTER LLC |
| 7901 Frost St, San Diego, CA 92123-2701 | SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP INC | |
| 7901 Frost St, San Diego, CA 92123-2701 | 8589394550 | SHARP AND CHILDREN'S MRI CENTER LLC |
| 7910 Frost St, Suite 100, San Diego, CA 92123-2776 | 8586345900 | SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP INC |
| 7910 Frost St, Suite 110, San Diego, CA 92123-2731 | 8589394550 | SHARP AND CHILDREN'S MRI CENTER LLC |
| Organization Legal Name | SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP INC |
| Physicians | 75 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua I Rosenbaum | Diagnostic Radiology | San Diego Diagnostic Radiology Medical Group Inc | 3020 Children's Way, San Diego, CA 92123-4223 |
| Jackson W Penry | Diagnostic Radiology | San Diego Diagnostic Radiology Medical Group Inc | 4002 Vista Way, Oceanside, CA 92056-4506 |
| Margaret M Lee | Diagnostic Radiology | San Diego Diagnostic Radiology Medical Group Inc | 7901 Frost St, San Diego, CA 92123-2701 |
| Donald J Ponec | Diagnostic Radiology | San Diego Diagnostic Radiology Medical Group Inc | 2185 W Citracado Pkwy, Escondido, CA 92029-4159 |
| Aaron M Smith | Diagnostic Radiology | San Diego Diagnostic Radiology Medical Group Inc | 7901 Frost St, San Diego, CA 92123-2701 |
| Ankaj Khosla | Diagnostic Radiology | San Diego Diagnostic Radiology Medical Group Inc | 4002 Vista Way, Oceanside, CA 92056-4506 |
| Christopher E Dory | Diagnostic Radiology | San Diego Diagnostic Radiology Medical Group Inc | 751 Medical Ctr Ct, Chula Vista, CA 91911-6617 |
| Bassem A Georgy | Diagnostic Radiology | San Diego Diagnostic Radiology Medical Group Inc | 555 E Valley Pkwy, Escondido, CA 92025-3048 |
| Hamed Aryafar | Diagnostic Radiology | San Diego Diagnostic Radiology Medical Group Inc | 7901 Frost St, San Diego, CA 92123-2701 |
| Paul A Cripe | Diagnostic Radiology | San Diego Diagnostic Radiology Medical Group Inc | 7901 Frost St, San Diego, CA 92123-2701 |
| Street Address |
751 MEDICAL CTR CT |
| City | CHULA VISTA |
| State | CA |
| Zip | 91911-6617 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John S Videen | Nephrology | Emergency and Acute Care Medical Corporation | 751 Medical Ctr Ct, Chula Vista, CA 91911-6617 |
| Christopher E Dory | Diagnostic Radiology | San Diego Diagnostic Radiology Medical Group Inc | 751 Medical Ctr Ct, Chula Vista, CA 91911-6617 |
| Sean P Stroup | Urology | United Urology Consultants, P.C. | 751 Medical Ctr Ct, Chula Vista, CA 91911-6617 |
| Heather R Villani | Emergency Medicine | Cep America - California | 751 Medical Ctr Ct, Chula Vista, CA 91911-6617 |
| Sam Frenkel | Emergency Medicine | Cep America - California | 751 Medical Ctr Ct, Chula Vista, CA 91911-6617 |
| Helene L Saffer | Pathology | Pacific Rim Pathology Medical Corporation | 751 Medical Ctr Ct, Chula Vista, CA 91911-6617 |
| Matthew Michael Nolan | Emergency Medicine | Cep America - California | 751 Medical Ctr Ct, Chula Vista, CA 91911-6617 |
| Sow Alfred Kobayashi | Emergency Medicine | Cep America - California | 751 Medical Ctr Ct, Chula Vista, CA 91911-6617 |
| Christopher R Wixom | Pathology | Pacific Rim Pathology Medical Corporation | 751 Medical Ctr Ct, Chula Vista, CA 91911-6617 |
| Vishnu Parthasarathy | Emergency Medicine | Cep America - California | 751 Medical Ctr Ct, Chula Vista, CA 91911-6617 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Penny Weiser | Psychologist, Clinical | 815 3rd Ave, Suite 107, Chula Vista, CA 91911-1308 | |
| Don E Miller | Psychologist, Clinical | 815 3rd Ave, Suite 307, Chula Vista, CA 91911-1310 | |
| Georges M Argoud | Endocrinology | San Diego Coastal Endocrinology Group, A Medical Corporation | 855 3rd Ave, Suite 1110, Chula Vista, CA 91911-1350 |
| Lauren Anderson | Psychiatry | Community Research Foundation Inc | 835 3rd Ave C, Chula Vista, CA 91911-1352 |
| Hamid D Mani | Ophthalmology | Nasrin and Hamid Mani, Ptr | 835 3rd Ave A, Chula Vista, CA 91911-1352 |
| Nasrin Mani | Ophthalmology | Nasrin and Hamid Mani, Ptr | 835 3rd Ave, Suite A, Chula Vista, CA 91911-1352 |
| Patrick Pakan Sassani | Ophthalmology | Nasrin and Hamid Mani, Ptr | 835 3rd Ave, Suite A, Chula Vista, CA 91911-1352 |
| Majid Mani | Ophthalmology | Nasrin and Hamid Mani, Ptr | 835 3rd Ave, Suite A, Chula Vista, CA 91911-1352 |
| Tayson De Lengocky | Ophthalmology | Nasrin and Hamid Mani, Ptr | 835 3rd Ave, Suite A, Chula Vista, CA 91911-1352 |
| Ayham R Skaf | Ophthalmology | Nasrin and Hamid Mani, Ptr | 835 3rd Ave, Suite A, Chula Vista, CA 91911-1352 |
| Find all physicians in zip 91911 | |||
| City | CHULA VISTA |
| Zip Code | 91911 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | CHULA VISTA + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Michael L Puckett.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.