Active NPI
Gouterman Orthopedic Appliances, Inc.
- Prosthetic/Orthotic Supplier
- Rockville, MD
National Provider Identifier
1356421705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- GOUTERMAN ORTHOPEDIC APPLIANCES, INC.
- Practice address
- 11900 Parklawn Dr.
Suite 207
Rockville, MD 20852 - Phone
- (301) 984-3342
- Fax
- (301) 984-3378
- NPI assigned
- Oct 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Richard M Gouterman
- Title
- Owner/President
- Phone
- (301) 984-3342
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | 15216137 | MD | |
| Prosthetic/Orthotic Supplier | 335E00000X | MD | Primary |
Addresses
Primary practice location
11900 Parklawn Dr.
Suite 207
Rockville, MD 20852
Mailing address
11900 Parklawn Dr.
Suite 207
Rockville, MD 20852
Phone (301) 984-3342
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 092468700 | Medicaid | MD |
National Provider Directory
National Provider DirectoryLocations
11900 Parklawn Dr
Ste 207
Rockville, MD 20852
Phone (301) 984-3342
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthotist
- Rockville, MD
- NPI 1366407280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1514332800000",
"number": "1356421705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11900 PARKLAWN DR.",
"address_2": "SUITE 207",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "20852",
"telephone_number": "301-984-3342",
"fax_number": "301-984-3378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11900 PARKLAWN DR.",
"address_2": "SUITE 207",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "20852",
"telephone_number": "301-984-3342",
"fax_number": "301-984-3378"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOUTERMAN ORTHOPEDIC APPLIANCES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-17",
"last_updated": "2017-12-27",
"status": "A",
"authorized_official_last_name": "GOUTERMAN",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "301-984-3342",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "MD",
"license": "15216137",
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "MD",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "092468700",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.