Active NPI
Robert Vincent Gouthro Jr., M.D.
- Psychiatry Physician
- Weston, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 53075-020
- Practice address
- 5703 Memorial CT
Weston, WI 54476-6502 - Phone
- (715) 204-9808
- NPI assigned
- Mar 27, 2007
- Last updated
- Oct 10, 2025
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 53075-020 | WI | Primary |
Addresses
Primary practice location
5703 Memorial CT
Weston, WI 54476-6502
Mailing address
5703 Memorial CT
Weston, WI 54476-6502
Phone (715) 204-9808
Other practice location 1
2680 Vernon Dr
Green Bay, WI 54304-5374
Phone (920) 496-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Medical College of Wisconsin, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- County of Wood
Practice addresses (Care Compare)
111 W Jackson St
Wisconsin Rapids, WI 54495-2702
Phone (715) 421-8820
1600 N Chestnut Ave
Marshfield, WI 54449-1449
Phone (715) 387-2188
2941 S Ridge Rd
Green Bay, WI 54304-5517
Phone (715) 204-9808
900 Illinois Ave
Stevens Point, WI 54481-3114
Phone (715) 346-5000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.15 of 100
- Quality
- 73.7
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.71
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53075-020 | WI | MD | Psychiatry Physician |
Practice roles
Locations
29980 Network Pl
Chicago, IL 60673
400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318
2941 S Ridge Rd
Green Bay, WI 54304
Phone (920) 336-4096
1600 N Chestnut Ave
Marshfield, WI 54449
Phone (715) 384-2188
2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-3000
2251 N Shore Dr
Ste 200
Rhinelander, WI 54501
Phone (715) 361-4602
900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500
401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700
2400 Marshall St
Ste A
Wausau, WI 54403
Phone (715) 848-4600
5703 Memorial Ct
Weston, WI 54476
Phone (715) 204-9808
111 W Jackson St
Wisconsin Rapids, WI 54495
Phone (715) 421-8820
240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000
Interoperability endpoints
- rgouthro198918@direct.aspirus.org
Organizations & group practices 14
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.
-
- General Acute Care Hospital
- Stevens Point, WI
- NPI 1538112230
-
dba Aspirus Stevens Point Clinic - Illinois Avenue
- Clinic/Center
- Stevens Point, WI
- NPI 1144991340
-
dba BH Outpatient Services
- Professional Counselor
- Wisconsin Rapids, WI
- NPI 1063638088
-
dba North Central Health Care
- Multi-Specialty Clinic/Center
- Wausau, WI
- NPI 1205944543
-
- General Acute Care Hospital
- Woodruff, WI
- NPI 1184673352
-
dba Aspirus Crandon Clinic
- Rural Health Clinic/Center
- Crandon, WI
- NPI 1699068692
-
dba Aspirus Behavioral Health Clinic - Stevens Point - Prentice St
- Clinic/Center
- Stevens Point, WI
- NPI 1679706022
-
dba North Central Health Care Youth Behavioral Health Hospital
- Psychiatric Hospital
- Wausau, WI
- NPI 1932714292
-
dba North Central Heatlh Care
- Multi-Specialty Clinic/Center
- Wausau, WI
- NPI 1821106162
-
dba Howard Young Medical Center
- General Acute Care Hospital
- Woodruff, WI
- NPI 1134183171
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Marshfield Medical Center
- Rural Acute Care Hospital
- Marshfield, WI
- NPI 1942749387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760054400000",
"number": "1285752089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5703 MEMORIAL CT",
"city": "WESTON",
"state": "WI",
"postal_code": "544766502",
"telephone_number": "715-204-9808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5703 MEMORIAL CT",
"city": "WESTON",
"state": "WI",
"postal_code": "544766502",
"telephone_number": "715-204-9808"
}
],
"practiceLocations": [
{
"address_1": "2680 Vernon Dr",
"address_purpose": "LOCATION",
"city": "Green Bay",
"state": "WI",
"postal_code": "543045374",
"country_code": "US",
"telephone_number": "920-496-4700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOUTHRO",
"first_name": "ROBERT",
"middle_name": "VINCENT",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2025-10-10",
"certification_date": "2025-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WI",
"license": "53075-020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weston, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.