Paul Vernon Tuttle Iv is a Rheumatology Physician practicing in Green Bay, Wisconsin. The National Provider Identifier (NPI) is #1023243805, which was assigned on May 21, 2009, and the registration record was last updated on April 22, 2025. The practitioner's main practice location is at 2223 Lime Kiln Rd, Ste 1, Green Bay, WI 54311-6213; the contact telephone number is 9204308120, and the fax number is 9204308122. The primary taxonomy of Paul Vernon Tuttle Iv is Rheumatology Physician (207RR0500X), with specialization in Rheumatology. Paul Vernon Tuttle Iv is licensed to practice in the state of Wisconsin (#64162-21).
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.
| NPI | 1023243805 |
| Entity Type | Individual |
| Provider Name | DR. PAUL VERNON TUTTLE IV |
| Gender | Male |
| Credential | D.O. |
| Practice Address |
2223 Lime Kiln Rd Ste 1 Green Bay WI 54311-6213 |
| Practice Telephone | 9204308120 |
| Practice Fax Number | 9204308122 |
| Mailing Address |
2223 Lime Kiln Rd Ste 1 Green Bay WI 54311-6213 |
| Mailing Telephone | 9204308120 |
| Mailing Fax Number | 9204308122 |
| Certification Date | 2025-04-22 |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2025-04-22 |
| Is Sole Proprietor | N |
| PAC ID |
2769784123 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | PAUL V TUTTLE IV |
| Medical School | AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE |
| Primary Specialty | RHEUMATOLOGY |
| Organization Legal Name | ORTHOPEDIC AND SPORTS MEDICINE SPECIALISTS OF GREEN BAY SC |
| Address |
2223 Lime Kiln Rd Suite 1 Green Bay WI 54311-6238 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| N | 390200000X | Student in an Organized Health Care Education/Training Program | ||||
| Y | 207RR0500X | Internal Medicine | Rheumatology | 64162-21 | WI |
| Code | 207RR0500X |
| Taxonomy | Rheumatology Physician |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| Classification | Student in an Organized Health Care Education/Training Program |
| Grouping | Student, Health Care |
| Definition: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Brittany Reese Higgins | 6909 Burlington Pike Ste A, Florence, KY 41042-1618 | Rheumatology Physician | 2025-10-31 |
| Premier Rheumatology, PLLC | 4400 W Sample Rd Ste 236, Coconut Creek, FL 33073-3473 | Rheumatology Physician | 2025-11-12 |
| Pb Derm, PLLC | 9325 Glades Rd Ste 101, Boca Raton, FL 33434-3988 | Rheumatology Physician | 2026-01-06 |
| St. Sharbel Health, PLLC | 3601 S Pennsylvania St Ste B, Englewood, CO 80113-3753 | Rheumatology Physician | 2025-12-04 |
| Tidalhealth Specialty Care, LLC | 96 Atlantic Ave Ste 101, Ocean View, DE 19970-9103 | Rheumatology Physician | 2025-11-26 |
| North Arkansas Regional Medical Center | 620 N Main St Ste 2c, Harrison, AR 72601-2911 | Rheumatology Physician | 2026-02-04 |
| Arthritis and Rheumatology of Southwest Ohio | 7116 Sennet Pl, Liberty Township, OH 45069-1791 | Rheumatology Physician | 2025-11-12 |
| Arthritis Wellness Care Texas PLLC | 150 Pine Forest Dr Ste 804, Shenandoah, TX 77384-5317 | Rheumatology Physician | 2025-12-02 |
| Johns Hopkins University | 5501 Hopkins Bayview Cir Fl 1, Baltimore, MD 21224-6821 | Rheumatology Physician | 2025-11-06 |
| Naz Rheumatology Clinic P C | 2224 Molino, Irvine, CA 92618-4821 | Rheumatology Physician | 2026-01-24 |
| Find all providers with the same taxonomy | |||
| Street Address |
2223 LIME KILN RD STE 1 |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54311-6213 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Peter E. Mcmahon · Pete E. Mcmahon | 2223 Lime Kiln Rd, Green Bay, WI 54311 | Physical Therapist | 2006-07-27 |
| Nicole Anna Kieffer | 2223 Lime Kiln Rd Ste 1, Green Bay, WI 54311-6238 | Internal Medicine Physician | 2007-11-05 |
| Andrew J Taber | 2223 Lime Kiln Rd, Green Bay, WI 54311-6213 | Physical Therapist | 2005-12-07 |
| Cory W Peed | 2223 Lime Kiln Rd, Green Bay, WI 54311-6213 | Physical Therapist | 2005-08-12 |
| Brandon J Stradel | 2223 Lime Kiln Rd Ste 1, Green Bay, WI 54311-6238 | Orthopaedic Surgery Physician | 2019-06-11 |
| Abbey E Debruin | 2223 Lime Kiln Rd Ste 1, Green Bay, WI 54311-6238 | Orthopaedic Surgery Physician | 2019-04-04 |
| Michael Thomas Avery | 2223 Lime Kiln Rd Ste 1, Green Bay, WI 54311-6213 | Rheumatology Physician | 2009-06-18 |
| Courtney Long · Courtney Falk | 2223 Lime Kiln Rd, Green Bay, WI 54311-6213 | Physical Therapist | 2018-08-13 |
| Tyler Martin | 2223 Lime Kiln Rd, Green Bay, WI 54311-6234 | Physical Therapist | 2025-02-10 |
| Paige Chapman | 2223 Lime Kiln Rd, Green Bay, WI 54311-6234 | Orthopaedic Surgery Physician | 2019-05-04 |
| Find all providers in the same location | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Jacinda J Hecker | 3150 Gershwin Dr, Green Bay, WI 54311-4328 | Social Worker | 2024-07-09 |
| Carrie Kraemer | 3150 Gershwin Dr, Green Bay, WI 54311-4328 | Clinical Social Worker | 2023-10-04 |
| Amritha Chandrahasa Karkera | 2845 Greenbrier Rd, Green Bay, WI 54311 | Hematology & Oncology Physician | 2010-07-21 |
| Golden Counseling, LLC | 2563 Development Dr, Green Bay, WI 54311-4246 | Community/Behavioral Health Agency | 2025-06-19 |
| Jenna R Mobile | 3150 Gershwin Dr, Green Bay, WI 54311-4328 | Addiction (Substance Use Disorder) Counselor | 2026-01-31 |
| Logan Wilz | 3150 Gershwin Dr, Green Bay, WI 54311-4328 | Clinical Psychologist | 2023-09-25 |
| Jennifer M Wachowiak | 1496 Bellevue St Ste 502, Green Bay, WI 54311-4251 | Psychiatric/Mental Health Nurse Practitioner | 2025-08-25 |
| Paige Levi | 3150 Gershwin Dr, Green Bay, WI 54311-4328 | Clinical Social Worker | 2024-01-17 |
| Kathryn Meadowcroft | 2581 Development Dr, Green Bay, WI 54311-4247 | Family Nurse Practitioner | 2023-01-06 |
| Jade County Community Tre Pirlott | 3150 Gershwin Dr, Green Bay, WI 54311-4328 | Professional Counselor | 2025-12-20 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Amanda Tuttle | 202 Westside Dr, Dothan, AL 36303-1928 | Nurse Practitioner | 2019-02-12 |
| Kelsey N. Tuttle | 9660 S 1300 E, Sandy, UT 84094-3762 | Psychiatry Physician | 2021-04-04 |
| Allison Tuttle | 467 Lafayette Rd, Hampton, NH 03842-2272 | Mental Health Clinic/Center (Including Community Mental Health Center) | 2021-11-22 |
| Brianna Tuttle | 27777 Inkster Rd, Farmington Hills, MI 48334-5310 | Behavior Technician | 2024-07-19 |
| April Tuttle | 4535 Normal Blvd Ste 235, Lincoln, NE 68506-2891 | Chore Provider | 2025-09-22 |
| Natheniel Tuttle | 13030 Brandon St, Anchorage, AK 99515-3536 | Behavior Technician | 2025-06-03 |
| Kalyn Tuttle | 33836 Highway 2, Farmington, IA 52626-8080 | Athletic Trainer | 2025-09-08 |
| Bailey Tuttle | 309 W Madison Ave, Norfolk, NE 68701-5227 | Day Training/Habilitation Specialist | 2025-06-24 |
| Chase Tuttle | 1851 Macgregor Downs Rd, Greenville, NC 27834-5925 | Student in an Organized Health Care Education/Training Program | 2025-07-09 |
| Madison Tuttle | 5455 Almira Dr Ne, Bremerton, WA 98311-8331 | Clinical Social Worker | 2025-11-17 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |