Organization Active NPI

Ronald M Tuttelman Mdpa

  • Obstetrics & Gynecology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1578809976
Registry record updated Dec 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME36525 Issued in FL
Legal business name
RONALD M TUTTELMAN MDPA
Practice address
1880 E Commercial Blvd
Suite 4
Fort Lauderdale, FL 33308-3747
Phone
(954) 776-4395
Fax
(954) 776-3637
NPI assigned
Dec 13, 2012
Last updated
Dec 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2012

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

Authorized official

Name
Dr. Ronald M Tuttelman, MDNPI 1407999592
Title
Owner
Phone
(954) 776-4395

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME36525 FL Primary

Addresses

Primary practice location

1880 E Commercial Blvd
Suite 4
Fort Lauderdale, FL 33308-3747

Mailing address

1880 E Commercial Blvd
Suite 4
Fort Lauderdale, FL 33308-3747
Phone (954) 776-4395

Other identifiers 1

IdentifierTypeStateIssuer
036898900MedicaidFL

National Provider Directory

National Provider Directory

Locations

1880 E Commercial Blvd
Ste 4
Fort Lauderdale, FL 33308
Phone (727) 266-1403

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1578809976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 E COMMERCIAL BLVD",
            "address_2": "SUITE 4",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083747",
            "telephone_number": "954-776-4395",
            "fax_number": "954-776-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 E COMMERCIAL BLVD",
            "address_2": "SUITE 4",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083747",
            "telephone_number": "954-776-4395",
            "fax_number": "954-776-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD M TUTTELMAN MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-13",
        "last_updated": "2012-12-13",
        "status": "A",
        "authorized_official_last_name": "TUTTELMAN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-776-4395",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME36525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036898900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.