National Provider Identifier
Jerry Varghese Thuthikattu John, MD
Jerry Varghese Thuthikattu John, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Jamestown, NY and a listed phone number of (716) 483-6700.
Profile Overview
- NPI
- 1053920504
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- July 29, 2020
- Last Updated
- August 03, 2023
Practice Location
- 15 S Main St Ste 150
- Jamestown, NY 14701-6627
Phone: (716) 483-6700
Mailing Address
- 2400 W Villard Ave
- Milwaukee, WI 53209-4901
Specialties
- Family Medicine Physician (207Q00000X)
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1053920504
- Entity Type
- Individual
- Last Name
- John
- First Name
- Jerry
- Middle Name
- Varghese Thuthikattu
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 2400 W Villard Ave
- Mailing City
- Milwaukee
- Mailing State
- WI
- Mailing ZIP Code
- 53209-4901
- Mailing Country
- US
- Mailing Phone
- (414) 527-8191
- Practice Street Address
- 15 S Main St Ste 150
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-6627
- Practice Country
- US
- Practice Phone
- (716) 483-6700
- Practice Fax
- (716) 664-7275
- Enumeration Date
- July 29, 2020
- Last Updated
- August 03, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- August 03, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X), Family Medicine Physician (207Q00000X)