Jose A Gutierrez, M.D.

Primary specialty

Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X

License

25242 Issued in AZ

Practice address

1400 S Dobson Rd
Attn: Pediatric Intensive Care Unit
Mesa, AZ 85202-4707

Phone

(480) 412-3340

NPI assigned

Feb 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Pediatric Critical Care of Arizona LTD

  • Pediatric Critical Care Medicine Physician
  • Phoenix, AZ
  • NPI 1598738429
  NPD (past)

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320192000000",
    "number": "1528032109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 W DEER CREEK RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850450753",
            "telephone_number": "480-412-3340",
            "fax_number": "480-460-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S DOBSON RD",
            "address_2": "ATTN: PEDIATRIC INTENSIVE CARE UNIT",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024707",
            "telephone_number": "480-412-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "JOSE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2011-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "AZ",
            "license": "25242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "385501",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brad Guthrie, MD
• Dale W Guthrie, M.D.
• Jennifer Denise Guthrie, PA-C
• Jo Guthrie
• Carla Marie Gutierrez, DNP, AGNP-C
• Shawna C Gutierrez, LCSW
• Wilson Gutierrez
• Melissa Guttuso
• Erin Guy
• Michelle Guy

• Pediatric Critical Care Medicine Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Pediatric Critical Care Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.