DR. FRED THOMAS TUTTLE (NPI# 1033276225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033276225 |
| Entity Type | Individual |
| Full Name | DR. FRED THOMAS TUTTLE |
| Credential | M.D. |
| Practice Address |
4106 Mason Woods Ln Owensboro KY 42303-7552 |
| Practice Telephone | 2709933999 |
| Mailing Telephone | 2709933999 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2009-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 19911 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED HEALTHCARE | 34346 | 01 | |
| CAREWORKS | 40582791500 | 01 | |
| AETNA | 443632 | 01 | |
| KY | 64199110 | 05 | |
| KY | KENPAC | 65917551 | 01 |
| RAILROAD RETIREMENT | P00020977 | 01 | |
| BLACK LUNG | 010619500 | 01 | |
| KY | PASSPORT | 1155576 | 01 |
| CHA HEALTH | 1195470 | 01 | |
| BENESIGHT | 610901982 | 01 | |
| CIGNA | 6109019820030 | 01 | |
| CENTERCARE | 610901982 | 01 | |
| RAILROAD MEDICARE | 080177443 | 01 | |
| KY | PASSPORT ADVANTAGE | 2438914000 | 01 |
| ANTHEM BLUE CROSS | 000000206950 | 01 | |
| BLUEGRASS FAMILY HEALTH | 610901982 | 01 | |
| HUMANA | 610901982E | 01 | |
| METRACOMP | 1001684 | 01 |
| Street Address |
4106 MASON WOODS LN |
| City | OWENSBORO |
| State | KY |
| Zip Code | 42303-7552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881218121 | Strive Health Ky LLC | Clinic/Center | 4511 Springhill Road, Owensboro, KY 42303 | 2020-06-02 |
| 1952921991 | Carl P Lewis | Pharmacist | Nation's Medicines, 3000 Alvey Park Drive West, Owensboro, KY 42303 | 2020-04-20 |
| 1386292621 | Alexandra Freudenberg | Occupational Therapist | 2605 New Hartford Road, Owensboro, KY 42303 | 2019-08-29 |
| 1457843815 | Deaconess Clinic Inc | Family Medicine | 2710 Heartland Crossing Blvd, Owensboro, KY 42303 | 2018-06-01 |
| 1225525520 | Claudia Abrams | Nurse Practitioner | 3245 Mount Moriah Ave Ste 10, Owensboro, KY 42303 | 2018-04-23 |
| 1245751965 | Play Works Pediatric Therapy | Early Intervention Provider Agency | 4551 Indian Creek Loop, Owensboro, KY 42303 | 2017-07-03 |
| 1518490952 | Sue Lindsey | Social Worker | 1100 Walnut St., Owensboro, KY 42303 | 2017-04-04 |
| 1972034163 | Megan Nichole Meredith | Counselor | 2707 Breckenridge Street, Suite 4, Owensboro, KY 42303 | 2017-03-21 |
| 1275077786 | Physicians Affiliated Care, Psc | Family Medicine | 2710 Heartland Crossings, Suite B, Owensboro, KY 42303 | 2016-12-19 |
| 1790168516 | Kelli D. Brown | Nurse Practitioner | 2816 Veach Rd Ste 403, Owensboro, KY 42303 | 2015-06-30 |
| Find all providers in zip 42303 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972140911 | E.d. Mills, Pllc | Family Medicine | 722 W Byers Ave, Owensboro, KY 42303-6330 | 2019-12-10 |
| 1194360578 | Alex Jolly | Family Medicine | 425 E 20th St, Owensboro, KY 42303-3804 | 2019-11-09 |
| 1457843815 | Deaconess Clinic Inc | Family Medicine | 2710 Heartland Crossing Blvd, Owensboro, KY 42303 | 2018-06-01 |
| 1275077786 | Physicians Affiliated Care, Psc | Family Medicine | 2710 Heartland Crossings, Suite B, Owensboro, KY 42303 | 2016-12-19 |
| 1942690250 | Owensboro Health Medical Group, Inc | Family Medicine | 2315 Mayfair Dr Ste 14, Owensboro, KY 42301-4557 | 2015-01-26 |
| 1023415601 | Jones Medical Corp Dba Bridgewater Medical Center | Family Medicine | 750 Salem Drive, Owensboro, KY 42303 | 2014-11-26 |
| 1801152434 | Steven Roby | Family Medicine | 2200 E Parrish Ave Bldg A, Owensboro, KY 42303-1453 | 2012-04-09 |
| 1861631947 | John A Walker II | Family Medicine | 1000 Breckenridge St Ste 401, Owensboro, KY 42303-0878 | 2009-02-12 |
| 1386739464 | Tamberly L Mccoy | Family Medicine | 2816 Veach Rd Ste 308, Owensboro, KY 42303-6297 | 2006-10-04 |
| 1043303845 | Namita R Gopal | Family Medicine | 415 Sutton Ln, Owensboro, KY 42301-0372 | 2006-10-02 |
| Find all providers in OWENSBORO | ||||
Please comment or provide details below to improve the information on DR. FRED THOMAS TUTTLE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.