Active NPI
James P Truitt Jr., M.D.
- Ophthalmology Physician
- Stuart, FL
National Provider Identifier
1568418283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME-22567
- Practice address
- 2090 SE Ocean Blvd
Stuart, FL 34996-3304 - Phone
- (772) 287-8777
- Fax
- (772) 287-1996
- NPI assigned
- May 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME0022567 | FL | |
| Ophthalmology Physician | 207W00000X | ME-22567 | FL | Primary |
Addresses
Primary practice location
2090 SE Ocean Blvd
Stuart, FL 34996-3304
Mailing address
2090 SE Ocean Blvd
Stuart, FL 34996-3304
Phone (772) 287-8777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 043451500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0022567 | FL | MD | Specialist |
| ME-22567 | FL | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457913600000",
"number": "1568418283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2090 SE OCEAN BLVD",
"city": "STUART",
"state": "FL",
"postal_code": "349963304",
"telephone_number": "772-287-8777",
"fax_number": "772-287-1996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2090 SE OCEAN BLVD",
"city": "STUART",
"state": "FL",
"postal_code": "349963304",
"telephone_number": "772-287-8777",
"fax_number": "772-287-1996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUITT",
"first_name": "JAMES",
"middle_name": "P",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2016-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME0022567",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME-22567",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "043451500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.