Ralph Edwin Tuttle, D.O.

Primary specialty

Pain Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P2900X

License

02002839A Issued in IN

Practice address

Naval Medical Center Camp Lejeune
100 Brewster Blvd
Camp Lejeune, NC 28547

Phone

(910) 450-4145

Fax

(910) 450-3762

NPI assigned

Apr 27, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mr. Ralph Edwin Tuttle Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1164489662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GREY MOSS CT",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284433815",
            "telephone_number": "360-979-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVAL MEDICAL CENTER CAMP LEJEUNE",
            "address_2": "100 BREWSTER BLVD",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "28547",
            "telephone_number": "910-450-4145",
            "fax_number": "910-450-3762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTTLE",
        "first_name": "RALPH",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "IN",
            "license": "02002839A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RALPH",
            "last_name": "TUTTLE",
            "middle_name": "EDWIN",
            "prefix": "MR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nikita Deryabin Tucker
• Samuel J Tuluri
• Hannah Joy Tuma'E, NP
• Rebecca Tupaj, OTR/L
• Samuel Duncan Turner, M.D.
• Katie Marie Tyger
• Timothy Tyler, LCSW
• U.S. Marine Corps Forces Command
• Lisa Lynn Ubongen
• Mary Catherine Ucciardi, RD

• Pain Medicine (Psychiatry & Neurology) Physician in Camp Lejeune, NC
• Providers in Camp Lejeune, NC by specialty
• Pain Medicine (Psychiatry & Neurology) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.