Individual provider Active NPI

John Newton Guitteau, MD

  • Emergency Medicine Physician
  • Portland, OR
National Provider Identifier
1528108115
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD14426 Issued in OR
Practice address
3449 N Anchor St Ste 300a
Portland, OR 97217-7679
Phone
(503) 283-0013
Fax
(503) 283-0785
NPI assigned
Feb 6, 2007
Last updated
Nov 9, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD14426 OR Primary

Addresses

Primary practice location

3449 N Anchor St Ste 300a
Portland, OR 97217-7679

Mailing address

3449 N Anchor St Ste 300a
Portland, OR 97217-7679
Phone (503) 283-0013

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD14426ORMDEmergency Medicine Physician
14426ORMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320796800000",
    "number": "1528108115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3449 N ANCHOR ST STE 300A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972177679",
            "telephone_number": "503-283-0013",
            "fax_number": "503-283-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3449 N ANCHOR ST STE 300A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972177679",
            "telephone_number": "503-283-0013",
            "fax_number": "503-283-0785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUITTEAU",
        "first_name": "JOHN",
        "middle_name": "NEWTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2011-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "MD14426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.