Mr. Phillip T Deturk
NP | Nurse Practitioner | 19+ years Exp
124 Sagamore Pkwy West, West Lafayette
Indiana, 47906
765-463-6722
Mr. Phillip T Deturk is a West Lafayette, Indiana based nurse practitioner with 19 years of experience in . He completed his graduation in 2006. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Phillip T Deturk is 71002161A in Indiana. His current practice location is 124 Sagamore Pkwy West, West Lafayette. Patients can reach him at 765-463-6722 or can fax him at 765-463-0905. Mr. Phillip T Deturk is NP and his NPI number (Unique professional ID assigned by NPPES) is 1275626095.
Mr. Phillip T Deturk has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mr. Phillip T Deturk speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mr. Phillip T Deturk |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Male |
| Credentials: | NP |
| Experience: | 19+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2006 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 124 Sagamore Pkwy West, West Lafayette,
Indiana, 47906 |
| Phone: | 765-463-6722 |
| Fax: | 765-463-0905 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 4082785704 |
| Enrollment ID: | I20080624000018 |
| NPI Number: | 1275626095 |
| NPI Enumeration Date: | 02 Oct, 2006 |
| NPI Last Update On: | 19 Dec, 2024 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Phillip T Deturk are as mentioned below.
| License Number | Specialization | State | Status | |
| 71002161A | | Indiana | Primary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mr. Phillip T Deturk is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Randall Dermatology, Pc (3678675329) | 10 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Phillip T Deturk such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 71002161A | Other | Indiana | NURSE PRACTITIONER AUTHOR |
| 28153076A | Other | Indiana | REGISTERED NURSE LICENSE |
| 71002161B | Other | Indiana | APN CSR REFERENCE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mr. Phillip T Deturk
124 Sagamore Pkwy West,
West Lafayette, Indiana |
| Zip: | 47906 |
| Phone Number: | 765-463-6722 |
| Fax Number: | 765-463-0905 |
Patients can reach Mr. Phillip T Deturk at
124 Sagamore Pkwy West, West Lafayette, Indiana or can
call to book an appointment on 765-463-6722.
Comments/ Reviews:
Patients can read all the reviews posted for Mr. Phillip T Deturk below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Mr. Phillip T Deturk. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.