Active NPI
George Christopher Kutteruf, MD
- Gastroenterology Physician
- Coeur d'Alene, ID
National Provider Identifier
1235211582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- M3978
- Practice address
- 1607 Lincoln Way
Suite 200
Coeur D Alene, ID 83814-2476 - Phone
- (208) 667-5483
- Fax
- (208) 667-5483
- NPI assigned
- Oct 19, 2006
- Last updated
- Dec 15, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | M3978 | ID | Primary |
Addresses
Primary practice location
1607 Lincoln Way
Suite 200
Coeur D Alene, ID 83814-2476
Mailing address
1607 Lincoln Way
Suite 200
Coeur D Alene, ID 83814-2476
Phone (208) 667-5483
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002499400 | Medicaid | ID |
Other names 1
- G C Kutteruf
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 |
|---|---|---|---|
| M3978 | ID | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kutteruf and Robinson MD PA | Gastroenterology | Current | Accepting new patients |
| R. Randy Hopkins M.D. P.a | Gastroenterology | Current | Accepting new patients |
Locations
1607 Lincoln Way
Ste 200
Coeur D Alene, ID 83814
Phone (208) 667-5483
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Coeur d'Alene, ID
- NPI 1619029824
Gastroenterology
-
- Gastroenterology Physician
- Coeur d'Alene, ID
- NPI 1871758805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229299200000",
"number": "1235211582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1607 LINCOLN WAY",
"address_2": "SUITE 200",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142476",
"telephone_number": "208-667-5483",
"fax_number": "208-667-7062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1607 LINCOLN WAY",
"address_2": "SUITE 200",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142476",
"telephone_number": "208-667-5483",
"fax_number": "208-667-5483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUTTERUF",
"first_name": "GEORGE",
"middle_name": "CHRISTOPHER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2008-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "ID",
"license": "M3978",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002499400",
"state": "ID"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "G",
"last_name": "KUTTERUF",
"middle_name": "C",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Coeur d'Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.