NPIMap

Organization Active NPI

Gutteling Enterprises, LLC

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Hilo, HI
National Provider Identifier
1235491986
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
MD 7826 Issued in HI
Legal business name
GUTTELING ENTERPRISES, LLC
Practice address
670 Kekuanaoa St
Hilo, HI 96720-4405
Phone
(808) 961-2609
Fax
(808) 969-9262
NPI assigned
Jun 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Authorized official

Name
Edward William Gutteling, M.D.NPI 1407969181
Title
Manager
Phone
(808) 961-2609

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XS0114X MD 7826 HI Primary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XX0005X MD 7826 HI

Addresses

Primary practice location

670 Kekuanaoa St
Hilo, HI 96720-4405

Mailing address

670 Kekuanaoa St
Hilo, HI 96720-4405
Phone (808) 961-2609

Other names 1

  • Edward Gutteling, MD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120614000223 HI Part B Supplier - Clinic/Group Practice 4486818812 Receives reassigned benefits from 1 practitioner
Practice locations: Hilo, HI

National Provider Directory

National Provider Directory

Locations

45 Mohouli St
Ste 100
Hilo, HI 96720

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1235491986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 KEKUANAOA ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204405",
            "telephone_number": "808-961-2609",
            "fax_number": "808-969-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 KEKUANAOA ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204405",
            "telephone_number": "808-961-2609",
            "fax_number": "808-969-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUTTELING ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-08",
        "last_updated": "2022-02-07",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "GUTTELING",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "808-961-2609",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "HI",
            "license": "MD 7826",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "HI",
            "license": "MD 7826",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edward Gutteling, MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Edward Gutteling, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.