Individual provider Active NPI

Lorraine F Gutowicz, MD

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1457557456
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD022225E Issued in PR
Practice address
1717 Arch St
45TH Floor
Philadelphia, PA 19103-2713
Phone
(215) 587-1916
Fax
(215) 561-8590
NPI assigned
Jun 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD022225E PR Primary

Addresses

Primary practice location

1717 Arch St
45TH Floor
Philadelphia, PA 19103-2713

Mailing address

1717 Arch St FL 45
Philadelphia, PA 19103-2835
Phone (215) 587-1916

Other identifiers 1

IdentifierTypeStateIssuer
0501426MedicaidPA

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD022225EPRMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187136000000",
    "number": "1457557456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 ARCH ST FL 45",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191032835",
            "telephone_number": "215-587-1916",
            "fax_number": "215-561-8590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 ARCH ST",
            "address_2": "45TH FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191032713",
            "telephone_number": "215-587-1916",
            "fax_number": "215-561-8590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTOWICZ",
        "first_name": "LORRAINE",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2007-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "MD022225E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0501426",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.