Active NPI
Erin Marie Gutowski, D.O., MPH
- Pediatrics Physician
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 69141
- Practice address
- 701 Park Ave # P7
Minneapolis, MN 55415 - Phone
- (612) 873-8562
- NPI assigned
- Apr 23, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 69141 | WI | Primary |
| Pediatrics Physician | 208000000X | 62005 | MN |
Addresses
Primary practice location
701 Park Ave # P7
Minneapolis, MN 55415
Mailing address
1836 South Ave
La Crosse, WI 54601-5429
Phone (608) 782-7300
Other practice location 1
701 Park Ave # P7
Minneapolis, MN 55415-1623
Phone (612) 873-8562
Other practice location 2
701 Park Ave # P7
Minneapolis, MN 55415-1623
Phone (612) 873-8562
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1836 S Ave
La Crosse, WI 54601-5429
Phone (608) 783-7300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62005 | MN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Health Services | Current | Accepting new patients | |
| Gundersen Clinic LTD | Single Specialty | Current | Accepting new patients |
| Gundersen Lutheran Medical Center, Inc | Current | Accepting new patients | |
| Fairview Clinics | Single Specialty | Current | Accepting new patients |
| Fairview Express Care | Current | Accepting new patients | |
| Gundersen Lutheran Express Care, Inc | Current | Accepting new patients | |
| Fairview Health Services | Single Specialty | Current | Accepting new patients |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Gundersen Lutheran Medical Center Inc | Single Specialty | Current | Accepting new patients |
| Gundersen Lutheran Medical Center Inc | Single Specialty | Current | Accepting new patients |
Locations
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
400 Stinson Blvd
Minneapolis, MN 55413
Phone (612) 672-2258
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287
1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102
710 Denton St
La Crosse, WI 54601
Phone (608) 775-6680
1600 Main St
Onalaska, WI 54650
Phone (608) 783-4681
Interoperability endpoints
- egutowski230577@direct.emplifyhealth.org
Organizations & group practices 12
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.
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
- Primary Care Clinic/Center
- Eden Prairie, MN
- NPI 1336331297
-
- Primary Care Clinic/Center
- Saint Paul, MN
- NPI 1396552147
-
- Medical Specialty Clinic/Center
- Edina, MN
- NPI 1538599790
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
Single Specialty
-
- Land Ambulance
- Saint Paul, MN
- NPI 1710212485
-
- Clinic/Center
- La Crosse, WI
- NPI 1043446974
-
- General Acute Care Hospital
- La Crosse, WI
- NPI 1376593442
Single Specialty
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Onalaska, WI
- NPI 1871837567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532304000000",
"number": "1447670963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1836 SOUTH AVE",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546015429",
"telephone_number": "608-782-7300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 PARK AVE # P7",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55415",
"telephone_number": "612-873-8562"
}
],
"practiceLocations": [
{
"address_1": "701 Park Ave # P7",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554151623",
"country_code": "US",
"telephone_number": "612-873-8562",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "701 Park Ave # P7",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554151623",
"country_code": "US",
"telephone_number": "612-873-8562",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUTOWSKI",
"first_name": "ERIN",
"middle_name": "MARIE",
"credential": "D.O., MPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-23",
"last_updated": "2018-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WI",
"license": "69141",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "MN",
"license": "62005",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.