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GERARDO GUTIERREZ M.D. NPI 1679599518


NPI Information

NPI: 1679599518
Provider Name: GERARDO GUTIERREZ, M.D.
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual
Organization: SOUTHEASTERN EMERGENCY PHYSICIANS OF MEMPHIS LLC

PECOS Registration: Yes

Address:
7245 RAIDER RD
BONNE TERRE, MO
ZIP 63628
Phone: (573) 468-4186
Get Directions

Gerardo Gutierrez, M.D. is an emergency medicine in Bonne Terre, MO with 32 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Gerardo Gutierrez, M.D. NPI is 1679599518. 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:

7245 RAIDER RD
BONNE TERRE, MO
ZIP 63628-767
Phone: (573) 468-4186

The NPI 1679599518 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 7/14/2006 and was last updated on 1/19/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency Medicine01046504AINDIANANo
2207P00000XEmergency Medicine2001022240MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1147480011MEDICARE PINMISSOURI
2028013209MEDICARE PINMISSOURI
3205762107MEDICAIDMISSOURI
4156580009MEDICARE PINMISSOURI
5028013210MEDICARE PINMISSOURI
6106267A005OTHERMISSOURIBLUE SHIELD
7$$$$$$$$$MEDICAIDILLINOIS
8205762149MEDICAIDMISSOURI
9205762123MEDICAIDMISSOURI
10023013212MEDICARE PINMISSOURI
11H45030MEDICARE UPIN
12022013213MEDICARE PINMISSOURI
131679599518MEDICAIDMISSOURI
14147400013MEDICARE PINMISSOURI
15027013211MEDICARE PINMISSOURI

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.