Jacob Tuttle (NPI# 1023370053, PAC ID# 1759529704) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1023370053 |
| PAC ID by PECOS | 1759529704 |
| Professional Enrollment ID | I20190327001275 |
| Full Name | Jacob Tuttle |
| Organization Legal Name | VHS OUTPATIENT CLINICS INC |
| Address |
6036 N 19th Ave Suite 506 Phoenix AZ 85015-2143 |
| Phone Number | 6028410721 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4486566726 |
| Number of Group Practice Members | 129 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030030 | ABRAZO CENTRAL CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 6036 N 19th Ave, Suite 506, Phoenix, AZ 85015-2143 | 6028410721 | VHS OUTPATIENT CLINICS INC |
| Organization Legal Name | VHS OUTPATIENT CLINICS INC |
| Physicians | 131 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Lee | Orthopedic Surgery | Vhs Outpatient Clinics Inc | 6950 E Chauncey Ln, Suite 100, Phoenix, AZ 85054-5179 |
| Diana Thayer | Nurse Practitioner | Vhs Outpatient Clinics Inc | 1910 E Thomas Rd, Suite 200, Phoenix, AZ 85016-7767 |
| Leslee Hamadeh | Nurse Practitioner | Vhs Outpatient Clinics Inc | 5112 W Olive Ave, Suite C113, Glendale, AZ 85302-4209 |
| Lara Kristine Shleef | Physician Assistant | Vhs Outpatient Clinics Inc | 5130 W Baseline Rd, Suite 102, Laveen, AZ 85339-2984 |
| Karthik Raghavan | General Surgery | Vhs Outpatient Clinics Inc | 4524 N Maryvale Pkwy, Suite 220, Phoenix, AZ 85031-1732 |
| Samyuktha Sreenivasan | Internal Medicine | Vhs Outpatient Clinics Inc | 18185 N 83rd Ave, Bldg D 107, Glendale, AZ 85308-0520 |
| Eric Tomas Ovalle | Physician Assistant | Vhs Outpatient Clinics Inc | 3929 E Bell Rd, Phoenix, AZ 85032-2112 |
| Sasi K Ghanta | Family Medicine | Vhs Outpatient Clinics Inc | 525 S Watson Rd, Suite 200, Buckeye, AZ 85326-3451 |
| Perry A Brazel | Physician Assistant | Vhs Outpatient Clinics Inc | 3811 E Bell Rd, Phoenix, AZ 85032-2160 |
| Edward G Ghattas | Family Medicine | Vhs Outpatient Clinics Inc | 10180 W Happy Valley Rd, Suite 100, Peoria, AZ 85383-1389 |
| Street Address |
6036 N 19TH AVE SUITE 506 |
| City | PHOENIX |
| State | AZ |
| Zip | 85015-2143 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vern O Strubeck | Family Medicine | Greater Phoenix Collaborative Care, P.C. | 6036 N 19th Ave, Suite 402, Phoenix, AZ 85015-2142 |
| Charles Matlin | General Surgery | Vhs Outpatient Clinics Inc | 6036 N 19th Ave, Suite 505, Phoenix, AZ 85015-2143 |
| Alicia Earley | Nurse Practitioner | Greater Phoenix Collaborative Care, P.C. | 6036 N 19th Ave, Suite 402, Phoenix, AZ 85015-2142 |
| Melissa S Molyneux | Family Medicine | Vhs Outpatient Clinics Inc | 6036 N 19th Ave, Suite 506, Phoenix, AZ 85015-2143 |
| Warren Mark Breisblatt | Cardiovascular Disease (cardiology) | Vhs Outpatient Clinics Inc | 6036 N 19th Ave, Suite 506, Phoenix, AZ 85015-2143 |
| Linda R Makdesi | Internal Medicine | Greater Phoenix Collaborative Care, P.C. | 6036 N 19th Ave, Suite 402, Phoenix, AZ 85015-2142 |
| Stephen T Smith | Vascular Surgery | Cardiovascular Consultants Ltd | 6036 N 19th Ave, Suite 312, Phoenix, AZ 85015-2105 |
| Dion Kris Heimink | Physical Therapy | Ati Holdings of Arizona, LLC | 6036 N 19th Ave, Suite 303, Phoenix, AZ 85015-2105 |
| Amanda Christie Rapp | Family Medicine | Vhs Outpatient Clinics Inc | 6036 N 19th Ave, Suite 506, Phoenix, AZ 85015-2143 |
| Kishlay Anand | Cardiac Electrophysiology | Cardiovascular Consultants Ltd | 6036 N 19th Ave, Suite 312, Phoenix, AZ 85015-2105 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel R Peters | Ophthalmology | Nationwide Vision Center, Inc. | 2222 E Camelback Rd, Suite 250, Phoenix, AZ 85015 |
| Kenneth Irwin Levy | Internal Medicine | Geriatric Specialties of Arizona PC | 6838 N 23rd Ave, Phoenix, AZ 85015-1056 |
| Morton H Dubnow | Internal Medicine | Geriatric Specialties of Arizona PC | 6838 N 23rd Ave, Phoenix, AZ 85015-1056 |
| Lester A Epstein | Endocrinology | Geriatric Specialties of Arizona PC | 6838 N 23rd Ave, Phoenix, AZ 85015-1056 |
| Stanley L Combs | Internal Medicine | Geriatric Specialties of Arizona PC | 6838 N 23rd Ave, Phoenix, AZ 85015-1056 |
| Garo Harmanian | Family Medicine | 6701 N 19th Ave, Phoenix, AZ 85015-1102 | |
| Sylvia C Gutierrez | Family Medicine | 6707 N 19th Ave, Suite 104, Phoenix, AZ 85015-1105 | |
| Arthur J Tallis | Podiatry | Associated Foot and Ankle Specialists Plc | 6707 N 19th Ave, Suite 103, Phoenix, AZ 85015-1105 |
| Verlan T Marshall | Podiatry | Associated Foot and Ankle Specialists Plc | 6707 N 19th Ave, Suite 103, Phoenix, AZ 85015-1105 |
| Eric Duquella | Gastroenterology | Clinical Associates In Internal Medicine, Ltd | 6707 N 19th Ave, Suite 200, Phoenix, AZ 85015-1106 |
| Find all physicians in zip 85015 | |||
| City | PHOENIX |
| Zip Code | 85015 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PHOENIX + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jacob Tuttle.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.