MR. MARSHALL EDWARD PUTNAM PA-C
NPI 1962459404
Physician Assistant - Medical in Fayetteville, NC

NPI Status: Active since May 30, 2006

Contact Information

217 GLENSFORD DR
FAYETTEVILLE, NC
ZIP 28314
Phone: (910) 483-4647
Fax: (910) 483-6431

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  • Individual
  • Male
  • Physician Assistant
  • Medical
  • PECOS Enrolled

About MARSHALL PUTNAM

This page provides the complete NPI Profile along with additional information for Marshall Putnam, a primary care provider established in Fayetteville, North Carolina with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1962459404 assigned on May 2006. The practitioner's primary taxonomy code is 363AM0700X with license number 103249 (NC). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1962459404
Provider Name
MR. MARSHALL EDWARD PUTNAM PA-C
Gender
Male
Entity Type
Individual
Location Address
217 GLENSFORD DR FAYETTEVILLE, NC 28314
Location Phone
(910) 483-4647
Location Fax
(910) 483-6431
Mailing Address
165 RUTH CIR FUQUAY VARINA, NC 27526
Mailing Phone
(919) 818-4755
Is Sole Proprietor?
No
Enumeration Date
05-30-2006
Last Update Date
12-10-2019
Code Navigator

A primary care provider (PCP) like Marshall Putnam sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 1705 Tarboro St SW
    Wilson, NC 27893
    (252) 399-8040

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
103249
License State
NC

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

103249 (NC)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
8102360MEDICAID (05)NC 

Medicare Participation & PECOS Enrollment Status

Marshall Putnam is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1962459404, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
4
Doubled → 8
Pos 6
5
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
4
Unchanged
Pos 9
0
Doubled → 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 4 → 8 9 → 18 → 9 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 2 + 2 + 8 + 5 + 1 + 8 + 4 + 0 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1962459404.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Physical Medicine & Rehabilitation
217 GLENSFORD DR
FAYETTEVILLE, NC 28314
Physician Assistant
217 GLENSFORD DR
FAYETTEVILLE, NC 28314
Nurse Practitioner (Family)
217 GLENSFORD DR
FAYETTEVILLE, NC 28314
Family Medicine
217 GLENSFORD DR
FAYETTEVILLE, NC 28314
Physician Assistant
217 GLENSFORD DR
FAYETTEVILLE, NC 28314
Physician Assistant
217 GLENSFORD DR
FAYETTEVILLE, NC 28314
Nurse Practitioner (Family)
217 GLENSFORD DR
FAYETTEVILLE, NC 28314
Nurse Practitioner (Family)
217 GLENSFORD DR
FAYETTEVILLE, NC 28314
Clinic/Center (Urgent Care)
217 GLENSFORD DR
FAYETTEVILLE, NC 28314
Physician Assistant
217 GLENSFORD DR
FAYETTEVILLE, NC 28314
Clinic/Center (Urgent Care)
217 GLENSFORD DR, SUITE A
FAYETTEVILLE, NC 28314
Nurse Practitioner (Family)
217 GLENSFORD DR
FAYETTEVILLE, NC 28314
Physician Assistant
217 GLENSFORD DR
FAYETTEVILLE, NC 28314

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962459404, enumerated as an "individual" on May 30, 2006.

The provider is located at 217 GLENSFORD DR FAYETTEVILLE, NC 28314 and the phone number is (910) 483-4647.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.