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DOUGLAS K TUTTLE PA-C
NPI 1699708875
Physician Assistant in Grand Rapids, MI

Active since July 09, 2006
4100 LAKE DR SE, STE 305, GRAND RAPIDS, MI 49546(616) 285-1377(616) 285-1006 Get Directions Write a Review

NPPES record last updated: July 15, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Douglas K Tuttle Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOUGLAS K TUTTLE PA-C (NPI 1699708875) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601001502) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1699708875
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDOUGLAS K TUTTLECredential: PA-C
Location Address4100 LAKE DR SE, STE 305Grand Rapids, MI 49546
Mailing Address61 Commerce Ave SwGrand Rapids, MI 49503 · (616) 940-0660 · Fax (616) 940-1965
Phone(616) 285-1377
Fax(616) 285-1006
Sole ProprietorNo
Enumeration DateJuly 9, 2006
Last NPPES UpdateJuly 15, 2009
✔ NPI 1699708875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601001502
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4100 LAKE DR SE, Grand Rapids, MI 49546
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Other Identifiers 2

Medicare UPINS54593MI
Medicare PINN88490003MI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TELLA KATARINA MINKKINEN PT
Physical Therapist
4100 LAKE DR SE, SUITE 305
GRAND RAPIDS, MI 49546
Kent County (616) 285-1377
RANDALL SCOTT MEISNER MD
Internal Medicine (Gastroenterology)
4100 LAKE DR SE, SUITE 205
GRAND RAPIDS, MI 49546
Kent County (616) 267-7414
DR. MARYKAY LEHMAN M.D.
Internal Medicine (Pulmonary Disease)
4100 LAKE DR SE, SUITE 200
GRAND RAPIDS, MI 49546
Kent County (616) 949-8244
GUSTAVO CUMBO-NACHELI
Internal Medicine (Pulmonary Disease)
4100 LAKE DR SE, SUITE 200
GRAND RAPIDS, MI 49546
Kent County (616) 267-8244
JANET DOMINOWSKI RD
Dietitian, Registered
4100 LAKE DR SE, SUITE 200
GRAND RAPIDS, MI 49546
Kent County (616) 267-8950
WALTER M BRAUNOHLER M.D.
Orthopaedic Surgery
4100 LAKE DR SE, SUITE 300
GRAND RAPIDS, MI 49546
Kent County (616) 267-8860
JILL C THORPE PA-C
Physician Assistant
4100 LAKE DR SE, SUITE 205
GRAND RAPIDS, MI 49546
Kent County (616) 774-2414
PATRICIA BEGGS AT, ATC
Specialist/Technologist (Athletic Trainer)
4100 LAKE DR SE, SUITE 300
GRAND RAPIDS, MI 49546
Kent County (616) 267-8565

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Tuttle's NPI number?

The NPI number for Douglas Tuttle is 1699708875. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Where is Douglas Tuttle located?

Douglas Tuttle practices at 4100 Lake Dr SE Ste 305, Grand Rapids, MI 49546. The listed phone number is (616) 285-1377.

What is Douglas Tuttle's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Douglas Tuttle was last updated on July 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.