Physician Compare National (NPI:1538138268)

HEALTHCARE PROVIDER: ERIC GEOFFREY PUTTLER M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1538138268
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4587663190
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20061208000331
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PUTTLER
	Individual professional last name
Provider First Name	ERIC
	Individual professional first name
Provider Middle Name	G
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
	Individual professional's medical school
Graduation Year	1994
	Individual professional's medical school graduation year
Primary Specialty	ORTHOPEDIC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	PROLIANCE SURGEONS, INC., P.S.
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	8527972900
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	429
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	3801 5TH ST SE
	Group Practice or individual's line 1 address
Line 2 Street Address	120 RAINIER ORTHOPEDIC INSTITUTE
	Group Practice or individual's line 2 address
City	PUYALLUP
	Group Practice or individual's city
State	WA
	Group Practice or individual's state
Zip Code	983742106
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2538644106
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	500079
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MULTICARE GOOD SAMARITAN HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	500129
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	TACOMA GENERAL ALLENMORE HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y