Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760447288 Individual Practitioner Male Practitioner

Dr. Theodore Inman Putnam , MD

Pediatrics • Buffalo, NY

Professional Overview & Biography Verified Profile Summary

Dr. Theodore Putnam, MD is a registered healthcare professional specializing in Pediatrics in Buffalo, NY. Practice services are available at 219 BRYANT ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

219 Bryant St

Buffalo, NY 142222006

Telephone 7168787109
Fax 7168883874
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Buffalo, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.6 Yrs
State Avg: 24.1 Yrs
Regional Practice Density
95 Specialists

Practicing in Buffalo, NY (6127 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NY 095973

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00639423 (NY)
Medicaid State Provider ID
0014382740001 (PA)
Commercial Insurance / Payer ID Bc/bs
000503501002
Commercial Insurance / Payer ID Univera
051028000061
Commercial Insurance / Payer ID Fidelis
061102000045
Commercial Insurance / Payer ID Iha
1211171
Commercial Insurance / Payer ID Bc/bs
000503501004
Commercial Insurance / Payer ID Univera
00010142001
Commercial Insurance / Payer ID Bc/bs
000503501005
Commercial Insurance / Payer ID Fidelis
040426002230

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Charene Wood , PNP

Registered Nurse

NPI 1013090463

Pediatric Nurse Practitioner

Deborah Dee , PNP

Nurse Practitioner - Pediatrics

NPI 1083797419

Pediatric Nurse Practitioner

Dr. John Tyo , DO

Pediatrics - Pediatric Emergency Medicine

NPI 1205892171

Doctor of Osteopathic Medicine (D.O.)

NPI 1225138241

Doctor of Medicine (M.D.)

Dr. Paula Mazur , MD

Pediatrics - Pediatric Emergency Medicine

NPI 1306802020

Doctor of Medicine (M.D.)

Julie Wettlaufer , FNP

Nurse Practitioner - Family

NPI 1578520805

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 16, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location December 16, 2008

Registered at 219 BRYANT ST, BUFFALO, NY 142222006 (Tel: 7168787109)

📍
Updated Business Mailing Address December 16, 2008

Registered at 4511 HARLEM ROAD, SUITE 202, AMHERST, NY 142263822 (Tel: 7168396720)

👤
Provider Name / Credentials Updated December 16, 2008

Recorded as THEODORE PUTNAM, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2008

Pediatrics (License #095973 in NY)

🟢
Initial NPI Registration & Enumeration April 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760447288
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 18, 2006
Last Update: December 16, 2008
Sole Proprietor: No

Mailing Address

4511 Harlem Road, Suite 202

Amherst, NY 142263822

Phone: 7168396720

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.