DR. FRED THOMAS TUTTLE M.D. NPI 1033276225

NPI Information

NPI: 1033276225
Provider Name: DR. FRED THOMAS TUTTLE, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
4106 MASON WOODS LN
OWENSBORO, KY
ZIP 42303
Phone: (270) 993-3999
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DR. Fred Thomas Tuttle, M.D. is a family medicine in Owensboro, KY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Fred Thomas Tuttle, M.D. NPI is 1033276225. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4106 MASON WOODS LN
OWENSBORO, KY
ZIP 42303-552
Phone: (270) 993-3999

The enumeration date for this NPI number is 1/3/2007 and was last updated on 7/2/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		19911	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C70499	MEDICARE UPIN
2	1317207	MEDICARE ID-TYPE UNSPECIFIED	KENTUCKY
3	40582791500	OTHER		CAREWORKS
4	443632	OTHER		AETNA
5	610901982	OTHER		BENESIGHT
6	610901982	OTHER		BLUEGRASS FAMILY HEALTH
7	000000206950	OTHER		ANTHEM BLUE CROSS
8	610901982	OTHER		CENTERCARE
9	1001684	OTHER		METRACOMP
10	610901982E	OTHER		HUMANA
11	64199110	MEDICAID	KENTUCKY
12	P00020977	OTHER		RAILROAD RETIREMENT
13	080177443	OTHER		RAILROAD MEDICARE
14	34346	OTHER		UNITED HEALTHCARE
15	1195470	OTHER		CHA HEALTH
16	6109019820030	OTHER		CIGNA
17	1155576	OTHER	KENTUCKY	PASSPORT
18	65917551	OTHER	KENTUCKY	KENPAC
19	010619500	OTHER		BLACK LUNG
20	2438914000	OTHER	KENTUCKY	PASSPORT ADVANTAGE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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