Active NPI
Donald L.Tutt M.D. PC
- Anesthesiology Physician
- Oklahoma City, OK
National Provider Identifier
1639216864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 8459
- Legal business name
- DONALD L.TUTT M.D. PC
- Practice address
- 1016 SW 44TH St
Ste 500
Oklahoma City, OK 73109-3616 - Phone
- (405) 692-2118
- Fax
- (405) 605-5816
- NPI assigned
- Jan 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Donald L Tutt, M.D.
- Title
- Director
- Phone
- (405) 692-2118
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 8459 | OK | Primary |
Addresses
Primary practice location
1016 SW 44TH St
Ste 500
Oklahoma City, OK 73109-3616
Mailing address
PO Box 19635
Oklahoma City, OK 73144-0635
Phone (405) 692-2118
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 507367753004 | Other | OK | BCBS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1639216864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19635",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731440635",
"telephone_number": "405-692-2118",
"fax_number": "405-605-5816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1016 SW 44TH ST",
"address_2": "STE 500",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731093616",
"telephone_number": "405-692-2118",
"fax_number": "405-605-5816"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DONALD L.TUTT M.D. PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TUTT",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "405-692-2118",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "OK",
"license": "8459",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "507367753004",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- 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.