Jessica M Gutierrez, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

49995 Issued in MN

Practice address

2545 Chicago Ave
Suite 601
Minneapolis, MN 55404-4522

Phone

(612) 863-7770

Fax

(612) 863-7772

NPI assigned

Apr 1, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1003058355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 CHICAGO AVE",
            "address_2": "SUITE 601",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044522",
            "telephone_number": "612-863-7770",
            "fax_number": "612-863-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 CHICAGO AVE",
            "address_2": "SUITE 601",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044522",
            "telephone_number": "612-863-7770",
            "fax_number": "612-863-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "JESSICA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-01",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "49995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharis Gutierrez Herrera
• Jose M Gutierrez Naranjo, MD
• Alma Gloria Gutierrez Ojeda
• Brenda Gutierrez-Rosas
• Arturo Gutierrez, MD
• Kira Elizabeth-Zubar Gutierrez, OTR/L
• Erin Marie Gutowski, D.O., MPH
• Susan Elizabeth Gutridge, COTA/L
• Carmen Yazmin Gutterman, PHD
• Ian Guttman, D.O.

• Surgery Physician in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Surgery Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.