NPIMap

Individual provider Active NPI

Richard Mark Gouterman, C.O.,C.PED

  • Orthotist
  • Rockville, MD
National Provider Identifier
1366407280
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
License
15216137 Issued in MD
Practice address
4701 Randolph Rd
Suite #G-6
Rockville, MD 20852-2257
Phone
(301) 570-5660
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X 15216137 MD Primary

Addresses

Primary practice location

4701 Randolph Rd
Suite #G-6
Rockville, MD 20852-2257

Mailing address

4701 Randolph Rd
Suite #G-6
Rockville, MD 20852-2257
Phone (301) 570-5660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15216137MDMDOrthotist

Practice roles

OrganizationSpecialtyStatusNew patients
Gouterman Orthopedic Appliances, Inc. Current Accepting new patients

Locations

4701 Randolph Rd
Ste G6
Rockville, MD 20852
Phone (301) 570-5660

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1366407280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 RANDOLPH RD",
            "address_2": "SUITE #G-6",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522257",
            "telephone_number": "301-570-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 RANDOLPH RD",
            "address_2": "SUITE #G-6",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522257",
            "telephone_number": "301-570-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUTERMAN",
        "first_name": "RICHARD",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "C.O.,C.PED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "MD",
            "license": "15216137",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 9, 2007; 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.