DR. NICHOLAS MARK GUTIERREZ M.D. NPI 1457643033

NPI Information

  • NPI: 1457643033
  • Provider Name: DR. NICHOLAS MARK GUTIERREZ, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2624 DAWSON RD
    ALBANY, GA
    ZIP 31707
  • Phone: (229) 888-1624

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NPI Details

DR. Nicholas Mark Gutierrez, M.D. is a diagnostic radiology radiology in Albany, GA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Nicholas Mark Gutierrez, M.D. NPI is 1457643033. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2624 DAWSON RD
ALBANY, GA
ZIP 31707-609
Phone: (229) 888-1624

The NPI 1457643033 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/13/2011 and was last updated on 4/9/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyME125720FLORIDAYes
22085R0202XRadiologyDiagnostic Radiology101802GEORGIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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