Organization Active NPI

Gordon P Guthrie, Jr., M.D. PSC

  • Endocrinology, Diabetes & Metabolism Physician
  • Lexington, KY
National Provider Identifier
1174825962
Registry record updated Feb 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
18859 Issued in KY
Legal business name
GORDON P GUTHRIE, JR., M.D. PSC
Practice address
1780 Nicholasville Road
Suite 602
Lexington, KY 40503-1400
Phone
(859) 275-1943
Fax
(859) 277-8999
NPI assigned
Nov 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2011

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

Authorized official

Name
Gordon P Guthrie Jr., M.D.
Title
Physician
Phone
(859) 275-1943

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X 18859 KY Primary

Addresses

Primary practice location

1780 Nicholasville Road
Suite 602
Lexington, KY 40503-1400

Mailing address

PO Box 1985
Lexington, KY 40588-1985
Phone (859) 277-8179

Other identifiers 1

IdentifierTypeStateIssuer
64188592MedicaidKY

National Provider Directory

National Provider Directory

Locations

1780 Nicholasville Rd
Ste 602
Lexington, KY 40503
Phone (606) 275-1943

NPI Registry JSON

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297296000000",
    "number": "1174825962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1985",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405881985",
            "telephone_number": "859-277-8179",
            "fax_number": "859-277-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 NICHOLASVILLE ROAD",
            "address_2": "SUITE 602",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031400",
            "telephone_number": "859-275-1943",
            "fax_number": "859-277-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON P GUTHRIE, JR., M.D. PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-30",
        "last_updated": "2011-02-10",
        "status": "A",
        "authorized_official_last_name": "GUTHRIE",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "859-275-1943",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "KY",
            "license": "18859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64188592",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; 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.