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Michael L. Putman, M.D., P.A.

Details

Name: Michael L. Putman, M.D., P.A.
Jurisdiction: Alabama
Legal type: Domestic Professional Association
Status: Exists
Date of registration: 08 Mar 1981 (44 years ago) (Companies founded in March 1981)
Entity Number: 000-064-452
Register Number: 000064452
ZIP code: 35601 (Companies in Morgan, 35601)
County: Morgan
Place of Formation: Morgan County
Principal Address: 1874 BELTLINE ROAD SWDECATUR, AL 35601

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1336286541 2007-01-30 2012-06-12 PO BOX 5749, DECATUR, AL, 356010749, US 1874 BELTLINE RD SW, DECATUR, AL, 356015514, US

Contacts
Phone +1 256-350-0798
Fax 2563506466

Authorized person
Name DR. MICHAEL L PUTMAN
Role PRESIDENT OWNER
Phone 2563500798

Taxonomy
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 000004302
State AL
Issuer BCBS OF ALABAMA
Number 51004302
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MICHAEL L. PUTMAN, M.D. P.A. PROFIT SHARING PLAN 2023 630799536 2024-09-20 MICHAEL L. PUTMAN, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 621111
Sponsor’s telephone number 2563516878
Plan sponsor’s mailing address PO BOX 5749, DECATUR, AL, 35601
Plan sponsor’s address PO BOX 5749, DECATUR, AL, 35601

Number of participants as of the end of the plan year
Active participants 0
Other retired or separated participants entitled to future benefits 0
Number of participants with account balances as of the end of the plan year 0

Signature of
Role Plan administrator
Date 2024-09-17
Name of individual signing MICHAEL L PUTMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-17
Name of individual signing MICHAEL L PUTMAN
Valid signature Filed with authorized/valid electronic signature
MICHAL L. PUTMAN, M.D. P.A. PROFIT SHARING PLAN 2023 630799536 2024-02-14 MICHAEL L. PUTMAN, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 621111
Sponsor’s telephone number 2563516878
Plan sponsor’s mailing address PO BOX 5749, DECATUR, AL, 35601
Plan sponsor’s address PO BOX 5749, DECATUR, AL, 35601

Number of participants as of the end of the plan year
Active participants 4
Other retired or separated participants entitled to future benefits 1
Number of participants with account balances as of the end of the plan year 5

Signature of
Role Plan administrator
Date 2024-02-12
Name of individual signing MICHAEL L PUTMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-02-12
Name of individual signing MICHAEL L PUTMAN
Valid signature Filed with authorized/valid electronic signature
MICHAL L. PUTMAN, M.D. P.A. PROFIT SHARING PLAN 2022 630799536 2023-02-20 MICHAEL L. PUTMAN, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 621111
Sponsor’s telephone number 2563516878
Plan sponsor’s mailing address PO BOX 5749, DECATUR, AL, 35601
Plan sponsor’s address PO BOX 5749, DECATUR, AL, 35601

Number of participants as of the end of the plan year
Active participants 4
Other retired or separated participants entitled to future benefits 1
Number of participants with account balances as of the end of the plan year 5

Signature of
Role Plan administrator
Date 2023-01-11
Name of individual signing MICHAEL L PUTMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-01-11
Name of individual signing MICHAEL L PUTMAN
Valid signature Filed with authorized/valid electronic signature
MICHAL L. PUTMAN, M.D. P.A. PROFIT SHARING PLAN 2021 630799536 2022-03-11 MICHAEL L. PUTMAN, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 621111
Sponsor’s telephone number 2563516878
Plan sponsor’s mailing address PO BOX 5749, DECATUR, AL, 35601
Plan sponsor’s address PO BOX 5749, DECATUR, AL, 35601

Number of participants as of the end of the plan year
Active participants 4
Other retired or separated participants entitled to future benefits 1
Number of participants with account balances as of the end of the plan year 5

Signature of
Role Plan administrator
Date 2022-01-27
Name of individual signing MICHAEL L PUTMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-01-27
Name of individual signing MICHAEL L PUTMAN
Valid signature Filed with authorized/valid electronic signature
MICHAL L. PUTMAN, M.D. P.A. PROFIT SHARING PLAN 2020 630799536 2021-01-29 MICHAEL L. PUTMAN, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 621111
Sponsor’s telephone number 2563516878
Plan sponsor’s mailing address PO BOX 5749, DECATUR, AL, 35601
Plan sponsor’s address PO BOX 5749, DECATUR, AL, 35601

Number of participants as of the end of the plan year
Active participants 4
Other retired or separated participants entitled to future benefits 1
Number of participants with account balances as of the end of the plan year 5

Signature of
Role Plan administrator
Date 2021-01-13
Name of individual signing MICHAEL L PUTMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-01-13
Name of individual signing MICHAEL L PUTMAN
Valid signature Filed with authorized/valid electronic signature
MICHAL L. PUTMAN, M.D. P.A. PROFIT SHARING PLAN 2019 630799536 2020-02-10 MICHAEL L. PUTMAN, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 621111
Sponsor’s telephone number 2563516878
Plan sponsor’s mailing address PO BOX 5749, DECATUR, AL, 35601
Plan sponsor’s address PO BOX 5749, DECATUR, AL, 35601

Number of participants as of the end of the plan year
Active participants 4
Other retired or separated participants entitled to future benefits 1
Number of participants with account balances as of the end of the plan year 5

Signature of
Role Plan administrator
Date 2020-02-04
Name of individual signing MICHAEL L PUTMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-02-04
Name of individual signing MICHAEL L PUTMAN
Valid signature Filed with authorized/valid electronic signature
MICHAL L. PUTMAN, M.D. P.A. PROFIT SHARING PLAN 2018 630799536 2019-04-13 MICHAEL L. PUTMAN, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 621111
Sponsor’s telephone number 2563516878
Plan sponsor’s mailing address PO BOX 5749, DECATUR, AL, 35601
Plan sponsor’s address PO BOX 5749, DECATUR, AL, 35601

Number of participants as of the end of the plan year
Active participants 4
Other retired or separated participants entitled to future benefits 1
Number of participants with account balances as of the end of the plan year 5

Signature of
Role Plan administrator
Date 2019-02-04
Name of individual signing MICHAEL L PUTMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-02-04
Name of individual signing MICHAEL L PUTMAN
Valid signature Filed with authorized/valid electronic signature
MICHAL L. PUTMAN, M.D. P.A. PROFIT SHARING PLAN 2017 630799536 2018-05-22 MICHAEL L. PUTMAN, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 621111
Sponsor’s telephone number 2563516878
Plan sponsor’s mailing address PO BOX 5749, DECATUR, AL, 35601
Plan sponsor’s address PO BOX 5749, DECATUR, AL, 35601

Number of participants as of the end of the plan year
Active participants 4
Other retired or separated participants entitled to future benefits 1
Number of participants with account balances as of the end of the plan year 5

Signature of
Role Plan administrator
Date 2018-05-08
Name of individual signing MICHAEL L PUTMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-08
Name of individual signing MICHAEL L PUTMAN
Valid signature Filed with authorized/valid electronic signature
MICHAL L. PUTMAN, M.D. P.A. PROFIT SHARING PLAN 2016 630799536 2017-06-07 MICHAEL L. PUTMAN, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 621111
Sponsor’s telephone number 2563516878
Plan sponsor’s mailing address PO BOX 5749, DECATUR, AL, 35601
Plan sponsor’s address PO BOX 5749, DECATUR, AL, 35601

Number of participants as of the end of the plan year
Active participants 4
Other retired or separated participants entitled to future benefits 1
Number of participants with account balances as of the end of the plan year 5

Signature of
Role Plan administrator
Date 2017-05-02
Name of individual signing MICHAEL L PUTMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-02
Name of individual signing MICHAEL L PUTMAN
Valid signature Filed with authorized/valid electronic signature
MICHAL L. PUTMAN, M.D. P.A. PROFIT SHARING PLAN 2015 630799536 2016-05-04 MICHAEL L. PUTMAN, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 621111
Sponsor’s telephone number 2563516878
Plan sponsor’s mailing address PO BOX 5749, DECATUR, AL, 35601
Plan sponsor’s address PO BOX 5749, DECATUR, AL, 35601

Number of participants as of the end of the plan year
Active participants 4
Other retired or separated participants entitled to future benefits 1
Number of participants with account balances as of the end of the plan year 5

Signature of
Role Plan administrator
Date 2016-04-22
Name of individual signing MICHAEL L PUTMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-04-22
Name of individual signing MICHAEL L PUTMAN
Valid signature Filed with authorized/valid electronic signature

Member

Name Role
PUTMAN, MICHAEL L MD Member

Related by officers

No related officers

Related by address

1874 BELTLINE ROAD SWDECATUR, AL 35601

Decatur Orthopaedics Specialists, P.C. OB-GYN Associates Realty, L.L.C.

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State

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