Sigma Medical Group, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

01042516A Issued in IN

Legal business name

SIGMA MEDICAL GROUP, LLC

Doing business as

Rene S Gutierrez, MD

Practice address

902 Foxwood CT
Monticello, IN 47960-3201

Phone

(574) 583-2495

Fax

(574) 583-2319

NPI assigned

Sep 10, 2007

Last updated

Feb 28, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lois Schmidt

Title

Credentialing Specialist

Phone

(765) 449-2410

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rene S Gutierrez, MD Doing business as

Tax ID family

Rene S Gutierrez MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sigma Medical Group

  • Adolescent Medicine (Internal Medicine) Physician
  • West Lafayette Bra, IN
  • NPI 1982637336
  NPD tax ID

Locations

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298851200000",
    "number": "1336334796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 SALEM ST",
            "address_2": "SUITE 302",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479044100",
            "telephone_number": "765-449-2410",
            "fax_number": "765-742-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 FOXWOOD CT",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479603201",
            "telephone_number": "574-583-2495",
            "fax_number": "574-583-2319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGMA MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2011-02-28",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "LOIS",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "765-449-2410"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "IN",
            "license": "01042516A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200495560",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rene S Gutierrez, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catherine Joan Seager, MED
• Shelby Seiltz
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• Hailey Sarah Shaffer, O.D.
• Cassidy Shorter, LMHC
• Taylor Snider
• Sonus-USA, Inc.
• Zachary Speckman
• Ashton Stone
• Soo Strahinich

• General Practice Physician in Monticello, IN
• Providers in Monticello, IN by specialty
• General Practice Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.