Eric I Gutnick, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

G22947 Issued in CA

Practice address

850 Sequoia Circle
Fort Bragg, CA 95437

Phone

(707) 964-0259

Fax

(707) 964-0765

NPI assigned

Dec 18, 2006

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114080611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 SEQUOIA CIRCLE",
            "city": "FORT BRAGG",
            "state": "CA",
            "postal_code": "95437",
            "telephone_number": "707-964-0259",
            "fax_number": "707-964-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 SEQUOIA CIRCLE",
            "city": "FORT BRAGG",
            "state": "CA",
            "postal_code": "95437",
            "telephone_number": "707-964-0259",
            "fax_number": "707-964-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTNICK",
        "first_name": "ERIC",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "G22947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44448956Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sasha Graham, NP
• Ayanna Gray
• Wade Joseph Gray, MD
• Joel Macgregor Green, M.A./MFT
• Guy Wayne Grenny, PH.D.
• Hackley Physical Therapy, Inc.
• Shawn Rueze Hackley, P.T.
• Gretchen Hahn, LMFT
• Amelia Hanney, DDS
• Happy Rides Inc.

• Gynecology Physician in Fort Bragg, CA
• Providers in Fort Bragg, CA by specialty
• Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.