Ty W Lostutter
ASSOCIATION OF UNIVERSITY PHYSICIANS


Address: 2717 Dexter Ave N, Seattle, WA 98109-1914
Phone: 2062847012

Ty W Lostutter (NPI# 1013327055, PAC ID# 2466676101) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1013327055
PAC ID by PECOS 2466676101
Professional Enrollment ID I20140715001079
Full Name Ty W Lostutter
Organization Legal Name ASSOCIATION OF UNIVERSITY PHYSICIANS
Address 2717 Dexter Ave N
Seattle
WA 98109-1914
Phone Number 2062847012
Gender M
Medical School UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year 2009
Primary Specialty PSYCHOLOGIST, CLINICAL
Group Practice PAC ID 0446162697
Number of Group Practice Members 2496
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
500138 SEATTLE CANCER CARE ALLIANCE

Other Locations

Address Phone Organization
116 Fairview Ave N, Mirabella, Seattle, WA 98109-5360 2062541400 ASSOCIATION OF UNIVERSITY PHYSICIANS
1959 Ne Pacific St, Seattle, WA 98195-0001 2065984333 ASSOCIATION OF UNIVERSITY PHYSICIANS
2717 Dexter Ave N, Seattle, WA 98109-1914 2062847012 ASSOCIATION OF UNIVERSITY PHYSICIANS
3800 Montlake Blvd Ne, Seattle, WA 98195-0007 2065981534 ASSOCIATION OF UNIVERSITY PHYSICIANS
4060 E Stevens Way, Hall Health Primary Care Ctr, Seattle, WA 98195-4410 2066162495 ASSOCIATION OF UNIVERSITY PHYSICIANS
825 Eastlake Ave E, Seattle, WA 98109-4405 2062881000 ASSOCIATION OF UNIVERSITY PHYSICIANS

Organization Information

Organization Legal Name ASSOCIATION OF UNIVERSITY PHYSICIANS
Physicians 2786

Physicians with the same organization

Name Specialty Organization Address
Alanna Marija Mozena Internal Medicine Association of University Physicians 825 Eastlake Ave E, Seattle, WA 98109-4405
Brooke E Parker Family Medicine Association of University Physicians 1355 N 205th St, Shoreline, WA 98133-3215
Yi Huang Internal Medicine Association of University Physicians 1740 Nw Maple St, Suite 100, Issaquah, WA 98027-8127
Patrick Ryan Harrison Nurse Practitioner Association of University Physicians 13231 Se 36th St, Bellevue, WA 98006-7321
Jennifer Erickson Psychiatry Association of University Physicians 3525 Ensign Rd Ne, Suite B, Olympia, WA 98506-5065
Diane E Wheeler Physician Assistant Association of University Physicians 325 9th Ave, Seattle, WA 98104-2420
Christopher Gia Duong Nurse Practitioner Association of University Physicians 32018 23rd Ave S, Federal Way, WA 98003-6022
Christopher B Chambers Ophthalmology Association of University Physicians 908 Jefferson St, Seattle, WA 98104-2433
Alisa Beth Kachikis Obstetrics/gynecology Association of University Physicians 1959 Ne Pacific St, Seattle, WA 98195-0001
Brett R Stacey Interventional Pain Management Association of University Physicians 4915 25th Ave Ne 300, Uwnc Ravenna Clinic, Seattle, WA 98105-5668

Office Location

Street Address 2717 DEXTER AVE N
City SEATTLE
State WA
Zip 98109-1914

Physicians in the same location

Name Specialty Organization Address
Kaylee B Petersen Nurse Practitioner Association of University Physicians 2717 Dexter Ave N, Seattle, WA 98109-1914
Courtney J Sanderson Physician Assistant Association of University Physicians 2717 Dexter Ave N, Seattle, WA 98109-1914
Erin D Shade Physician Assistant Association of University Physicians 2717 Dexter Ave N, Seattle, WA 98109-1914
Nerina Teresa Mcdonald Physician Assistant Association of University Physicians 2717 Dexter Ave N, Seattle, WA 98109-1914
Vijayakrishna K Gadi Medical Oncology Association of University Physicians 2717 Dexter Ave N, Seattle, WA 98109-1914
Rachel B Salit Hematology/oncology Association of University Physicians 2717 Dexter Ave N, Seattle, WA 98109-1914
Claire T Angel Optometry Association of University Physicians 2717 Dexter Ave N, Seattle, WA 98109-1914
Paul A Carpenter Hematology/oncology Association of University Physicians 2717 Dexter Ave N, Seattle, WA 98109-1914
Maria Jose V Cefalu Physician Assistant Association of University Physicians 2717 Dexter Ave N, Seattle, WA 98109-1914
Scott Simon Tykodi Medical Oncology Association of University Physicians 2717 Dexter Ave N, Seattle, WA 98109-1914
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Physicians in the same zip code

Name Specialty Organization Address
Jason Luke Hodges Chiropractic 101 Nickerson St, Suite 140, Seattle, WA 98109-1620
Janet M Welle Nurse Practitioner 150 Nickerson St, Suite 203, Seattle, WA 98109-1634
Nicole Therese Shiraev Clinical Social Worker 150 Nickerson St, Suite 105, Seattle, WA 98109-1634
Paul W Johnson Clinical Psychologist 150 Nickerson St, Suite 301, Seattle, WA 98109-1634
David M White Clinical Psychologist 150 Nickerson St, Suite 104, Seattle, WA 98109-1634
Jerald P Radich Medical Oncology Association of University Physicians 2717 Dexter Ave N, Seattle, WA 98109-1914
Kathryn H Stiff Nurse Practitioner Association of University Physicians 2717 Dexter Ave N, Seattle, WA 98109-1914
Angela Diane Kirk Physician Assistant Association of University Physicians 2717 Dexter Ave N, Seattle, WA 98109-1914
Julie Gralow Medical Oncology Association of University Physicians 2717 Dexter Ave N, Seattle, WA 98109-1914
Coley J Doolittle-amieva Physician Assistant Association of University Physicians 2717 Dexter Ave N, Seattle, WA 98109-1914
Find all physicians in zip 98109

Competitor

Search similar physicians

City SEATTLE
Zip Code 98109
Specialty PSYCHOLOGIST, CLINICAL
City + Specialty SEATTLE + PSYCHOLOGIST, CLINICAL

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Dataset Information

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.

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