Mario A. Gutierrez, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

P0395 Issued in TX

Practice address

719 W Coke Rd # Mob4
Ste 6
Winnsboro, TX 75494-3011

Phone

(903) 342-3760

NPI assigned

May 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Christus Trinity Clinic Texas

  dba Christus Trinity Clinic

  • Family Medicine Physician
  • Tyler, TX
  • NPI 1285684225
  Medicare reassignment NPD
• Regional Employee Assistance Program Inc

  • Family Medicine Physician
  • Corsicana, TX
  • NPI 1649232984
  Medicare reassignment NPD
• Timberland Medical Group

  • Family Medicine Physician
  • Cedar Park, TX
  • NPI 1528061157
  Medicare reassignment NPD
• HCC of Laredo LLC

  • Internal Medicine Physician
  • Laredo, TX
  • NPI 1942712252
  Medicare reassignment
• Christus Trinity Clinic Texas

  dba Christus Trinity Clinic

  • Rural Health Clinic/Center
  • Winnsboro, TX
  • NPI 1801673165
  NPD
• Regional Employee Assistance Program Inc

  • Cardiovascular Disease Physician
  • Abilene, TX
  • NPI 1073575585

  Family Medicine

  NPD
• Regional Employee Assistance Program Inc

  • Internal Medicine Physician
  • Victoria, TX
  • NPI 1215999511

  Family Medicine

  NPD
• Timberland Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Cedar Park, TX
  • NPI 1023790045
  NPD
• East Texas Medical Center Quitman

  • Critical Access Hospital
  • Quitman, TX
  • NPI 1396748430
  NPD (past)
• Mother Frances Hospital Winnsboro

  dba Mother Frances Hospital Winnsboro Rural Health Clinic

  • Rural Health Clinic/Center
  • Winnsboro, TX
  • NPI 1922294867
  NPD (past)
• Trinity Clinic

  dba Trinity Clinic Emory

  • Rural Health Clinic/Center
  • Emory, TX
  • NPI 1316061013
  NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499040000000",
    "number": "1306897038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844665",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844665",
            "telephone_number": "903-531-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 W COKE RD # MOB4",
            "address_2": "STE 6",
            "city": "WINNSBORO",
            "state": "TX",
            "postal_code": "754943011",
            "telephone_number": "903-342-3760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "MARIO",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2017-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NM",
            "license": "91-213",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "P0395",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P0395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287000801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "75-2616977-130",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287000806",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Garrison Rehab Solutions, LLC (Rehab Solutions)
• Patrick Garrison, P.T.
• Margaret Lorene Green, MS
• Priscilla Greene
• Theodore Knox Gregory II, CRNA
• Ashley Elizabeth Hammons, APRN, FNP
• Kandice Hand, PTA
• Jannah Leigh Haney, COTA
• Tina Gayle Hanner, FNP-C
• Sandra Hardiman, PT

• Family Medicine Physician in Winnsboro, TX
• Providers in Winnsboro, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.