Organization Active NPI

Gouterman Orthopedic Appliances, Inc.

  • Prosthetic/Orthotic Supplier
  • Rockville, MD
National Provider Identifier
1356421705
Registry record updated Dec 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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

Updated by the provider on Dec 27, 2017

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

Authorized official

Name
Mr. Richard M GoutermanNPI 1366407280
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
092468700MedicaidMD

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.