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JUSTIN PUTHOFF MD
NPI 1184111015
Student in an Organized Health Care Education/Training Program in Tulsa, OK

Active since April 17, 2018
1802 E 19TH ST, TULSA, OK 74104(918) 634-7539 Get Directions Write a Review

NPPES record last updated: August 12, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 12, 2021, Apr 17, 2018 (2 updates tracked since 2018).

About Justin Puthoff Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN PUTHOFF MD (NPI 1184111015) is an individual student in an organized health care education/training program in Tulsa, Oklahoma, licensed in Oklahoma (33927) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1184111015
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJUSTIN PUTHOFFCredential: MD
Location Address1802 E 19TH STTulsa, OK 74104-5403
Mailing Address1802 E 19th StTulsa, OK 74104-5403
Phone(918) 634-7539
Sole ProprietorNo
Enumeration DateApril 17, 2018
Last NPPES UpdateAugust 12, 20212 updates tracked since enumeration
NPPES CertifiedAugust 12, 2021
✔ NPI 1184111015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in OK · 33927
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedSurgeryTaxonomy 208600000X · License 33927 (OK)
1802 E 19TH ST, Tulsa, OK 74104
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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRENNON K COX D.O.
Family Medicine
1802 E 19TH ST, 400
TULSA, OK 74104
Tulsa County (918) 748-7644
SHIVANI ANANTHASEKAR MD
Orthopaedic Surgery
1802 E 19TH ST
TULSA, OK 74104
Tulsa County (918) 634-7500
VINCENT QUANG LE MD
Student in an Organized Health Care Education/Training Program
1802 E 19TH ST
TULSA, OK 74104
Tulsa County (918) 634-7500
STEPHANIE GARCIA
Student in an Organized Health Care Education/Training Program
1802 E 19TH ST, KRAVIS BUILDING
TULSA, OK 74104
Tulsa County (918) 634-7500
MATTHEW BROKAW KRANICK MD
Student in an Organized Health Care Education/Training Program
1802 E 19TH ST, KRAVIS BUILDING
TULSA, OK 74104
Tulsa County (918) 634-7500
DR. PAUL ANTHONY BEVILACQUA M.D.
Anesthesiology
1802 E 19TH ST, 400
TULSA, OK 74104
Tulsa County (918) 748-7644
DR. STUART REYNOLDS MD
Surgery
1802 E 19TH ST
TULSA, OK 74104
Tulsa County (918) 634-7539
LOGAN MATTHEW SCOTT-KIRCHEN MD
Student in an Organized Health Care Education/Training Program
1802 E 19TH ST
TULSA, OK 74104
Tulsa County (918) 634-7500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Puthoff's NPI number?

The NPI number for Justin Puthoff is 1184111015. It was assigned to this individual provider in the NPPES registry on April 17, 2018.

Where is Justin Puthoff located?

Justin Puthoff practices at 1802 E 19th St, Tulsa, OK 74104. The listed phone number is (918) 634-7539.

What is Justin Puthoff's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Justin Puthoff was last updated on August 12, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.