Organization Active NPI

Donald L.Tutt M.D. PC

  • Anesthesiology Physician
  • Oklahoma City, OK
National Provider Identifier
1639216864
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
8459 Issued in OK
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
507367753004OtherOKBCBS

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.