DR. THEODORE INMAN PUTNAM MD NPI 1760447288

NPI Information

NPI: 1760447288
Provider Name: DR. THEODORE INMAN PUTNAM, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
219 BRYANT ST
BUFFALO, NY
ZIP 14222
Phone: (716) 878-7109
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DR. Theodore Inman Putnam, MD is a pediatrics in Buffalo, NY. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Theodore Inman Putnam, MD NPI is 1760447288. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

219 BRYANT ST
BUFFALO, NY
ZIP 14222-006
Phone: (716) 878-7109
Fax: (716) 888-3874

The enumeration date for this NPI number is 4/18/2006 and was last updated on 12/16/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		095973	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000503501005	OTHER		BC/BS
2	1211171	OTHER		IHA
3	061102000045	OTHER		FIDELIS
4	D78295	MEDICARE UPIN
5	00010142001	OTHER		UNIVERA
6	RB3937	MEDICARE PIN
7	000503501002	OTHER		BC/BS
8	051028000061	OTHER		UNIVERA
9	000503501004	OTHER		BC/BS
10	040426002230	OTHER		FIDELIS
11	0014382740001	MEDICAID	PENNSYLVANIA
12	00639423	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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