NPIMap

Organization Active NPI

David M. Gutstein, M.D.,P.a.

  • Gastroenterology Physician
  • Fort Myers, FL
National Provider Identifier
1447373659
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME65573 Issued in FL
Legal business name
DAVID M. GUTSTEIN, M.D.,P.A.
Practice address
15621 New Hampshire CT
Fort Myers, FL 33908-4123
Phone
(239) 466-8838
Fax
(239) 466-7669
NPI assigned
Apr 10, 2007
Last updated
Jun 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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

Authorized official

Name
David M Gutstein, M.D.NPI 1740279140
Title
President
Phone
(239) 466-8838

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME65573 FL Primary

Addresses

Primary practice location

15621 New Hampshire CT
Fort Myers, FL 33908-4123

Mailing address

15621 New Hampshire CT
Fort Myers, FL 33908-4123
Phone (239) 466-8838

Other identifiers 1

IdentifierTypeStateIssuer
376267000MedicaidFL

National Provider Directory

National Provider Directory

Locations

15621 New Hampshire Ct
Fort Myers, FL 33908
Phone (239) 466-8838

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1447373659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15621 NEW HAMPSHIRE CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084123",
            "telephone_number": "239-466-8838",
            "fax_number": "239-466-7669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15621 NEW HAMPSHIRE CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084123",
            "telephone_number": "239-466-8838",
            "fax_number": "239-466-7669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M. GUTSTEIN, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "GUTSTEIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-466-8838",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME65573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376267000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; 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.