James T Tull, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD18579 Issued in OR

Practice address

12100 SE Stevens CT
Ste 106
Clackamas, OR 97086-4707

Phone

(503) 331-6330

Fax

(503) 353-7338

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• J Anthony Tull Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221609600000",
    "number": "1740399658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12100 SE STEVENS CT",
            "address_2": "STE 106",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970864707",
            "telephone_number": "503-331-6330",
            "fax_number": "503-353-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12100 SE STEVENS CT",
            "address_2": "STE 106",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970864707",
            "telephone_number": "503-331-6330",
            "fax_number": "503-353-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULL",
        "first_name": "JAMES",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD18579",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD00034868",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "J",
            "last_name": "TULL",
            "middle_name": "ANTHONY",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michelle Tsai, MD
• David G. Tse, MD
• Sylvia Tu
• Eric P Tubbs, M.D.
• Desiree Tucker
• Anna Sterner Turbes, PA, MPH, MMSC
• Kristen Turcu
• Patricia Marie Turley, NP
• Tatyana Turner
• Alyssa Tuttle, PHARMD

• Ophthalmology Physician in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Ophthalmology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.