Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Phillip T Deturk, NP

Individual provider Nurse Practitioner · NPI 1275626095

Mr. Phillip T Deturk, NP is a Nurse Practitioner in West Lafayette, Indiana. Qualified in 2006, 20 years ago. Practices with Randall Dermatology, PC, a 10-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
20
Licensed in
IN
In the registry since
2006
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

124 Sagamore Pkwy W
West Lafayette, IN 47906
Phone: (765) 463-6722
Fax: (765) 463-0905
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71002161A (IN)

Record details

NPI number1275626095
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 2, 2006
Last updated in NPPESDecember 19, 2024
Certification dateDecember 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Randall Dermatology, Pc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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