John Willis Puckett (NPI# 1306938022, PAC ID# 7719046473) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
| Nation Provider ID (NPI) | 1306938022 |
| PAC ID by PECOS | 7719046473 |
| Professional Enrollment ID | I20081110000583 |
| Full Name | John Willis Puckett |
| Organization Legal Name | ORANGE COUNTY VASCULAR SPECIALISTS, INC. |
| Address |
520 Superior Ave Suite 370 Newport Beach CA 92663-3623 |
| Phone Number | 9495747176 |
| Gender | M |
| Medical School | UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE |
| Graduation Year | 1977 |
| Primary Specialty | VASCULAR SURGERY |
| Secondary Specialties | PERIPHERAL VASCULAR DISEASE |
| Group Practice PAC ID | 9537321583 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050224 | HOAG MEMORIAL HOSPITAL PRESBYTERIAN |
| Address | Phone | Organization |
|---|---|---|
| 520 Superior Ave, Suite 370, Newport Beach, CA 92663-3623 | 9495747176 | ORANGE COUNTY VASCULAR SPECIALISTS, INC. |
| Organization Legal Name | ORANGE COUNTY VASCULAR SPECIALISTS, INC. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen F Lindsay | Vascular Surgery | Orange County Vascular Specialists, Inc. | 520 Superior Ave, Suite 370, Newport Beach, CA 92663-3623 |
| Street Address |
520 SUPERIOR AVE SUITE 370 |
| City | NEWPORT BEACH |
| State | CA |
| Zip | 92663-3623 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ali M Aghamohammadi | Otolaryngology | Alexis D Furze Md Inc | 520 Superior Ave, Suite 270, Newport Beach, CA 92663-3668 |
| Rajesh S Banker | Cardiac Electrophysiology | Premier Cardiology Inc | 520 Superior Ave, Newport Beach, CA 92663-3672 |
| John M Geiss | Family Medicine | Jm Geiss Do Apc | 520 Superior Ave, Suite 255, Newport Beach, CA 92663-3668 |
| Mark Miller | Cardiovascular Disease (cardiology) | 520 Superior Ave, Suite 350, Newport Beach, CA 92663-3672 | |
| Subrato Ghosh | Internal Medicine | Jm Geiss Do Apc | 520 Superior Ave, Suite 255, Newport Beach, CA 92663-3668 |
| Taylor Rose Cwiertniewicz | Nurse Practitioner | Newport Family Medicine Inc A Medical Group | 520 Superior Ave, Suite 360, Newport Beach, CA 92663-3668 |
| Linh L Thong | Nephrology | Nephrology Specialists Medical Group, Inc. | 520 Superior Ave, Suite 340, Newport Beach, CA 92663-3674 |
| Sonia R Grewal | Endocrinology | Naqvi and Naqvi, M.d.'s Inc | 520 Superior Ave, Suite 390, Newport Beach, CA 92663-3637 |
| Elizabeth W Mburu | Nurse Practitioner | Jm Geiss Do Apc | 520 Superior Ave, Suite 255, Newport Beach, CA 92663-3668 |
| Gregory J Katz | Internal Medicine | Newport Medicine Group Inc | 520 Superior Ave, Suite 220, Newport Beach, CA 92663-3671 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alan Freedman | Urology | 401 Old Newport Blvd, Suite 101, Newport Beach, CA 92663-0000 | |
| Sharon J Lucas | Clinical Social Worker | 34 Seabird Ct, Newport Beach, CA 92663-2109 | |
| Monica J Lucas | Physical Therapy | 1441 Superior Ave, Suite D, Newport Beach, CA 92663-2700 | |
| Bonnie Michelle Austin | Physical Therapy | Superior Wound Care and Physical Therapy Inc | 1441 Superior Ave, Suite D, Newport Beach, CA 92663-2700 |
| Jean O Galloway | Physical Therapy | Superior Rehabilitation Center, Inc | 1441 Superior Ave, Newport Beach, CA 92663-2700 |
| Michael W Summerlin | Psychologist, Clinical | 1441 Superior Ave, Suite F, Newport Beach, CA 92663-2704 | |
| Michael John Thorpe | Physical Therapy | Pegasus Physical Therapy Solutions, Inc. | 1419 Superior Ave, Suite 4, Newport Beach, CA 92663-2723 |
| Rafael A Penunuri | Family Medicine | 1419 Superior Ave, Suite 1, Newport Beach, CA 92663-2723 | |
| Jill G Byers | General Surgery | 320 Superior Ave, Suite 110, Newport Beach, CA 92663-2740 | |
| Robert I Hewlett | Pulmonary Disease | Newport Pulmonary Associates | 320 Superior Ave, Suite 200, Newport Beach, CA 92663-2741 |
| Find all physicians in zip 92663 | |||
| City | NEWPORT BEACH |
| Zip Code | 92663 |
| Specialty | VASCULAR SURGERY |
| City + Specialty | NEWPORT BEACH + VASCULAR SURGERY |
Please comment or provide details below to improve the information on John Willis 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.