David Gutierrez, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

205937 Issued in LA

Practice address

2104 Loop Rd Ste E
Winnsboro, LA 71295-3341

Phone

(318) 435-4084

Fax

(318) 435-9260

NPI assigned

Aug 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Vein ClinicGroup PAC ID 1557631785, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Medical Vein Clinic

  • Diagnostic Radiology Physician
  • San Antonio, TX
  • NPI 1538696471
  Medicare reassignment Care Compare group NPD
• Tampa Bay Surgical Associates PA

  • Surgery Physician
  • Tampa, FL
  • NPI 1932241783
  NPD (past) Authorized official
• Vernon T. Baldwin, M.D.,P.C.

  • Primary Care Clinic/Center
  • Winnsboro, LA
  • NPI 1558404905
  NPD (past)
• Tampa Bay Surgical Group, LLP

  • Surgery Physician
  • Tampa, FL
  • NPI 1831308949
  NPD (past)

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362700800000",
    "number": "1497747430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 LOOP RD STE E",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712953341",
            "telephone_number": "318-435-4084",
            "fax_number": "318-435-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 LOOP RD STE E",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712953341",
            "telephone_number": "318-435-4084",
            "fax_number": "318-435-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2013-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "205937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacy Fontenot Guedon, PMHNP
• Glenn C. Guilbeau, P.T.
• Nicholas Guilbeau I
• Deanna V Guillot, MS, SLP-CCC
• Katelyn Guillot
• Jack Brian Hall I, RPH
• Timothy Derek Hardy, PHARMD
• Harmony Home and Health Care, LLC
• Yolandra Harris
• Ryan Harrison, MD

• Surgery Physician in Winnsboro, LA
• Providers in Winnsboro, LA by specialty
• Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2013; 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.

Verify at the official NPI Registry.