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JUSTIN THOMAS PUTHUSSERIL CAA NPI 1821671751


NPI Information

NPI: 1821671751
Provider Name: JUSTIN THOMAS PUTHUSSERIL, CAA
Classification: Anesthesiologist Assistant - 367H00000X
Entity Type: Individual
Address:
2776 CLEVELAND AVE
FORT MYERS, FL
ZIP 33901
Phone: (239) 343-2000
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Justin Thomas Puthusseril, CAA is an anesthesiologist assistant in Fort Myers, FL with 3 years of experience. The provider is an individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. Justin Thomas Puthusseril, CAA NPI is 1821671751. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2776 CLEVELAND AVE
FORT MYERS, FL
ZIP 33901-864
Phone: (239) 343-2000

The enumeration date for this NPI number is 4/29/2021 and was last updated on 10/5/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1367H00000XAnesthesiologist AssistantAA676FLORIDAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.