Carl J Gutierrez, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

042-0009449 Issued in VT

Practice address

4180 Harbor Rd
Shelburne, VT 05482

Phone

(406) 545-8842

NPI assigned

Jun 14, 2006

Last updated

Aug 31, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VT, MT2 enrollments

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 2

Specialty

Anesthesiology

Education

University of New Mexico School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Partners of Montana PCGroup PAC ID 4385548809, 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Intermountain Health St Vincent Regional Hospital Hospital, Billings, MT, CCN 270049

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anesthesia Partners of Montana PC

  • Specialist
  • Billings, MT
  • NPI 1255330791
  Medicare reassignment Care Compare group
• Springfield Hospital

  • Critical Access Hospital Clinic/Center
  • Springfield, VT
  • NPI 1033225875
  Medicare reassignment NPD
• Springfield Hospital Inc

  dba Springfield Specialty Physicians

  • Anesthesiology Physician
  • Springfield, VT
  • NPI 1780657783
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• SCL Health Montana

  dba Intermountain Health St Vincent Regional Hospital

  • General Acute Care Hospital
  • Billings, MT
  • NPI 1083655997
  Care Compare affiliation
• St. Vincent Healthcare

  • General Acute Care Hospital
  • Billings, MT
  • NPI 1396916276
  Care Compare affiliation

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251676800000",
    "number": "1386687325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4180 HARBOR RD",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "05482",
            "telephone_number": "406-545-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 HARBOR RD",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "05482",
            "telephone_number": "406-545-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "CARL",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2009-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VT",
            "license": "042-0009449",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MT",
            "license": "8729",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008144",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02188085",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joan N Leyrer Greene, APRN CPNP
• Susan Ann Grimes, DDS
• Maria Garrity Grindle, M.S.
• John F. Guerriere, D.C.
• Gregory P. Guilmartin, LICENSED OPTICIAN
• Health in Focus: the Center for Chiropractic & Applied Kinesiology PLC
• David Kirke Hedden, M.D.
• Dylan Hershkowitz, MD
• Hobie Fuerstman DO PLC (Preventive Medicine)
• Holly B Maier DMD PC (Shelburne Village Dentistry)

• Anesthesiology Physician in Shelburne, VT
• Providers in Shelburne, VT by specialty
• Anesthesiology Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.