MEDICARE: SCOTT PUTNEY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	ME127463	FL
2	208D00000X	General Practice Physician	47294	KY
3	207XS0106X	Orthopaedic Hand Surgery Physician	ME127463	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811155450
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT PUTNEY M.D.

Provider Business Mailing Address
First Line	:	PO BOX 3266
Second Line	:
City	:	ST AUGUSTINE
State	:	FL
Zip	:	32085-3266
Country	:	US
Telephone Number	:	904-819-4517
Fax Number	:	904-244-3870

Provider Business Practice Location Address
First Line	:	145 CITY PL
Second Line	:
City	:	PALM COAST
State	:	FL
Zip	:	32164-2479
Country	:	US
Telephone Number	:	904-819-2999
Fax Number	:	49-819-8299

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2008
Last Update Date	:	04/06/2026

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Directions to “ SCOTT PUTNEY M.D.” Practice Location

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