Active NPI
Marcia Gutowicz
- Surgery Physician
- Huntingdon Valley, PA
National Provider Identifier
1154424109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD020794E
- Practice address
- 727 Welsh Rd
Suite 203
Huntingdon Valley, PA 19006-1901 - Phone
- (215) 947-0153
- NPI assigned
- Sep 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD020794E | PA | Primary |
Addresses
Primary practice location
727 Welsh Rd
Suite 203
Huntingdon Valley, PA 19006-1901
Mailing address
3871 Dempsey LN
Suite 222
Huntingdon Valley, PA 19006-1901
Phone (267) 471-1711
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0045150000 | Other | PA | KHPE |
| 0105193503 | Other | PA | AMERICHOICE |
| 181277 | Other | PW | BLUE SHIELD |
| P2020972 | Other | PA | OXFORD |
| 0045150000 | Other | PA | AMERIHEALTH |
| 1011551 | Other | PA | KEYSTONE MERCY |
| 55778 | Other | PA | USHC |
| 0010519350006 | Medicaid | PA | |
| 10998 | Other | PA | HEALTH PARTNERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD020794E | PA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403568000000",
"number": "1154424109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3871 DEMPSEY LN",
"address_2": "SUITE 222",
"city": "HUNTINGDON VALLEY",
"state": "PA",
"postal_code": "190061901",
"telephone_number": "267-471-1711",
"fax_number": "215-947-2593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "727 WELSH RD",
"address_2": "SUITE 203",
"city": "HUNTINGDON VALLEY",
"state": "PA",
"postal_code": "190061901",
"telephone_number": "215-947-0153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTOWICZ",
"first_name": "MARCIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-06",
"last_updated": "2014-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD020794E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KHPE",
"identifier": "0045150000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "0105193503",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "181277",
"state": "PW"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2020972",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0045150000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "1011551",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USHC",
"identifier": "55778",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0010519350006",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "10998",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntingdon Valley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.