Individual provider Active NPI

James P Gutheil, MD

  • Pediatric Orthopaedic Surgery Physician
  • Lafayette, LA
National Provider Identifier
1497790414
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
343126 Issued in LA
Practice address
4704 Ambassador Caffery Pkwy
Lafayette, LA 70508-6908
Phone
(225) 765-5500
Fax
(225) 765-5543
NPI assigned
Jun 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD219632 OR
Orthopaedic Surgery Physician 207X00000X L6924 TX
Orthopaedic Surgery Physician 207X00000X 04-41342 KS
Pediatric Orthopaedic Surgery Physician 207XP3100X 343126 LA Primary

Addresses

Primary practice location

4704 Ambassador Caffery Pkwy
Lafayette, LA 70508-6908

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 765-5500

Other practice location 1

4102 24th St
Suite 301
Lubbock, TX 79410-1806
Phone (806) 725-7980

Other practice location 2

1890 W Gauthier Rd Ste 115
Lake Charles, LA 70605-7180
Phone (337) 470-5920

Other identifiers 4

IdentifierTypeStateIssuer
69435278MedicaidNM
160449807MedicaidTX
150507103OtherTXFIRSTCARE
8BS953OtherTXBCBS

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address JAMES.GUTHEIL@hca2.eclinicaldirectplus.com
Direct Messaging Address jgutheil5296191@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240524001869 OR Practitioner - Orthopedic Surgery 6608879002 Reassigns benefits to 1 organization
I20240809001360 LA Practitioner - Orthopedic SurgeryPractitioner - Pediatric Medicine 6608879002 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
343126LAMDPediatric Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of the Lake Physician Group LLC Current Accepting new patients
Legacy Clinics LLC Orthopaedic Surgery CurrentSince May 13, 2024 Accepting new patients
Our Lady of the Lake Physician Group, LLC CurrentSince Aug 11, 2024 Accepting new patients
Lourdes Physician Group LLC CurrentSince Aug 11, 2024 Accepting new patients
Our Lady of the Lake Physician Group LLC CurrentSince Aug 11, 2024 Accepting new patients
Our Lady of the Lake Physician Group LLC Past Accepting new patients
Hendrick Medical Center Orthopaedic Surgery Past Accepting new patients

Locations

5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

8200 Constantin Blvd
Fl 1
Baton Rouge, LA 70809

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 470-2000

4704 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 470-5920

1890 W Gauthier Rd
Ste 115
Lake Charles, LA 70605
Phone (337) 371-3101

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

450 N Graham St
Portland, OR 97227
Phone (503) 413-4161

Interoperability endpoints

  • Direct secure messaging: james.gutheil@hca2.eclinicaldirectplus.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1497790414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "225-765-5500",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4704 AMBASSADOR CAFFERY PKWY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086908",
            "telephone_number": "225-765-5500",
            "fax_number": "225-765-5543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4102 24th St",
            "address_2": "SUITE 301",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794101806",
            "country_code": "US",
            "telephone_number": "806-725-7980",
            "fax_number": "806-723-7985",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1890 W Gauthier Rd Ste 115",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706057180",
            "country_code": "US",
            "telephone_number": "337-470-5920",
            "fax_number": "855-431-6868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTHEIL",
        "first_name": "JAMES",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "MD219632",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "L6924",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KS",
            "license": "04-41342",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "LA",
            "license": "343126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "69435278",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160449807",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE",
            "identifier": "150507103",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8BS953",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JAMES.GUTHEIL@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "4102 24th St",
            "address_2": "SUITE 301",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "794101806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgutheil5296191@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "jgutheil5296191@direct.casso.us.com",
            "address_1": "4704 Ambassador Caffery Pkwy",
            "city": "Lafayette",
            "state": "LA",
            "country_code": "US",
            "postal_code": "705086908",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "4704 Ambassador Caffery Pkwy",
            "city": "Lafayette",
            "state": "LA",
            "country_code": "US",
            "postal_code": "705086908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.