Active NPI
John R Trittschuh, MD
- Ophthalmology Physician
- Kalamazoo, MI
National Provider Identifier
1851305221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- JT031851
- Practice address
- 4016 W Main St
Kalamazoo, MI 49006 - Phone
- (269) 344-3366
- Fax
- (269) 344-3676
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | JT031851 | MI | Primary |
Addresses
Primary practice location
4016 W Main St
Kalamazoo, MI 49006
Mailing address
4016 W Main St
Kalamazoo, MI 49006
Phone (269) 344-3366
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180399449 | Other | MI | BLUE CROSS BLUE SHIELD |
| 0524240001 | Other | MI | ADMINISTAR FEDERAL |
| 180012001 | Other | MI | PALAMETTO GBA |
| 0830973 | Other | MI | IBA PHP |
| 102966940 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| JT031851 | MI | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851305221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4016 W MAIN ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "49006",
"telephone_number": "269-344-3366",
"fax_number": "269-344-3676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4016 W MAIN ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "49006",
"telephone_number": "269-344-3366",
"fax_number": "269-344-3676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRITTSCHUH",
"first_name": "JOHN",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MI",
"license": "JT031851",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "180399449",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADMINISTAR FEDERAL",
"identifier": "0524240001",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALAMETTO GBA",
"identifier": "180012001",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBA PHP",
"identifier": "0830973",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102966940",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.