Individual provider Active NPI

Alan Edward Guttmacher, M.D.

  • Clinical Genetics (M.D.) Physician
  • Bethesda, MD
National Provider Identifier
1457593634
Registry record updated Apr 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X
License
042-0007537 Issued in VT
Practice address
31 Center Dr
Room 4B09
Bethesda, MD 20892-2152
Phone
(301) 496-0844
Fax
(301) 402-0837
NPI assigned
Apr 2, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Genetics (M.D.) Physician 207SG0201X 042-0007537 VT Primary

Addresses

Primary practice location

31 Center Dr
Room 4B09
Bethesda, MD 20892-2152

Mailing address

31 Center Dr
Room 4B09
Bethesda, MD 20892-2152
Phone (301) 496-0844

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
042-0007537VTMDClinical Genetics (M.D.) Physician

NPI Registry JSON

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238630400000",
    "number": "1457593634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 CENTER DR",
            "address_2": "ROOM 4B09",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208922152",
            "telephone_number": "301-496-0844",
            "fax_number": "301-402-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 CENTER DR",
            "address_2": "ROOM 4B09",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208922152",
            "telephone_number": "301-496-0844",
            "fax_number": "301-402-0837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTTMACHER",
        "first_name": "ALAN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-02",
        "last_updated": "2009-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "VT",
            "license": "042-0007537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; 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.