Craig S Tutton MD, Inc PC

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

20688 Issued in OK

Legal business name

CRAIG S TUTTON MD, INC PC

Practice address

1212 Merrick Dr
Ardmore, OK 73401-1824

Phone

(580) 224-0331

Fax

(580) 224-0334

NPI assigned

Aug 17, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Souvannakaysone Tutton, RN

Title

Office Manager

Phone

(580) 224-0331

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Craig Steven Tutton, MD

  • Child & Adolescent Psychiatry Physician
  • Ardmore, OK
  • NPI 1508963406
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609980937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1466",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734021466",
            "telephone_number": "580-224-0331",
            "fax_number": "580-224-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 MERRICK DR",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011824",
            "telephone_number": "580-224-0331",
            "fax_number": "580-224-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG S TUTTON MD, INC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TUTTON",
        "authorized_official_first_name": "SOUVANNAKAYSONE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "580-224-0331",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OK",
            "license": "20688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100726670A/100053740",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Cox
• Christopher Cox
• Makenzee Cox
• Tammy Cox
• Karlee Janene Craddock, MS, LPC
• Natasha Crapo
• April D Craven, M.ED. LPC
• Crisis Stabilization Unit
• Kaitlyn Cronemeyer
• Susan Elaine Cronemeyer

• Child & Adolescent Psychiatry Physician in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Child & Adolescent Psychiatry Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.