Edwin L Gutshall

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

0202004967 Issued in VA

Practice address

106 Pelican Reach
Suffolk, VA 23435-3708

Phone

(757) 538-0615

NPI assigned

May 25, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427269968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 PELICAN REACH",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353708",
            "telephone_number": "757-538-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 PELICAN REACH",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353708",
            "telephone_number": "757-538-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTSHALL",
        "first_name": "EDWIN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "VA",
            "license": "0202004967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Gum, MS,CCC/SLP
• Tharini Gunapalan, M.D.
• Bhavdeep K Gupta, MD, FACC
• Dolly Gupta, M.D.
• Kellie A Gustas, P.A-C
• Bremer Gwaltney, WHNP-BC
• James Ryland Gwaltney
• Steve A Gwaltney, D.D.S.
• Whitney Bailey Gwaltney, DDS
• River Sky Haas

• Pharmacotherapy Pharmacist in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Pharmacotherapy Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.