John C Gutleber MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME70290 Issued in FL

Legal business name

JOHN C GUTLEBER MD

Practice address

139 NE 15TH St
Homestead, FL 33030-4508

Phone

(305) 247-1213

Fax

(305) 247-5701

NPI assigned

Feb 8, 2017

Last updated

Feb 8, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John C Gutleber, M.D.

Title

Physician

Phone

(305) 247-1213

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

John C Gutleber MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gutleber Medical Group, Inc

  dba Gutleber Medical Group

  • Multi-Specialty Clinic/Center
  • Homestead, FL
  • NPI 1770010753
  NPD tax ID

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1467990531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 NE 15TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304508",
            "telephone_number": "305-247-1213",
            "fax_number": "305-247-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 NE 15TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304508",
            "telephone_number": "305-247-1213",
            "fax_number": "305-247-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C GUTLEBER MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "GUTLEBER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "305-247-1213",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME70290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250356500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taimy Jimenez
• Yamilet Jimenez I, RBT
• Yanelly Jimenez
• Taily Jo Roche
• Joanne Kundl, OD, PA
• John C Gutleber MD PA
• Claudia X Johns, APRN
• Johnson Pharmacy Discount Inc
• Aisha Johnson
• Chantelle Shaneka Johnson, NP

• Family Medicine Physician in Homestead, FL
• Providers in Homestead, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.