John P Tuttle Jr MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

19237 Issued in KY

Legal business name

JOHN P TUTTLE JR MD

Doing business as

Clinic for Urologic Wellness

Practice address

160 North Eagle Creek
Ste 301
Lexington, KY 40509

Phone

(859) 263-1300

Fax

(859) 263-4395

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John P Tuttle Jr., MD

Title

President

Phone

(859) 263-1300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Clinic for Urologic Wellness Doing business as

Locations

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324944000000",
    "number": "1639394208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 NORTH EAGLE CREEK",
            "address_2": "STE 301",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40509",
            "telephone_number": "859-263-1300",
            "fax_number": "859-263-4395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 NORTH EAGLE CREEK",
            "address_2": "STE 301",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40509",
            "telephone_number": "859-263-1300",
            "fax_number": "859-263-4395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN P TUTTLE JR MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2011-12-27",
        "status": "A",
        "authorized_official_last_name": "TUTTLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-263-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "KY",
            "license": "19237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64192370",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinic for Urologic Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Johannemann
• John D Michelman, MD, PSC
• John L Buker MD PSC (Bluegrass Dermatology)
• John L. Buker, M.D., PSC (Bluegrass Dermatology and Skin Surgery Center)
• John M Falace, DMD
• Seth Elias John
• Amanda M Johns, DO
• Jayla Mackenzie Johns, RBT
• Melissa J Johnson-Farris, SLP
• Gina Johnson-Higgins, DMD

• Urology Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Urology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.