Individual provider Active NPI

Orestes Gutierrez, D.O.

  • Family Medicine Physician
  • Eugene, OR
National Provider Identifier
1558332791
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO152080 Issued in OR
Practice address
5 E 24TH Avenue
Suite #2
Eugene, OR 97405-2907
Phone
(541) 232-5627
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO152080 OR Primary

Addresses

Primary practice location

5 E 24TH Avenue
Suite #2
Eugene, OR 97405-2907

Mailing address

5 E 24TH Ave
Suite #2
Eugene, OR 97405-2907
Phone (541) 232-5627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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

Enrollment IDStateProvider typePAC IDDetails
I20101108000571 OR Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 4587859269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Philadelphia College of Osteopathic Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gutierrez Holistic Family Medicine LLCGroup PAC ID 8628227873, 2 clinicians

Practice addresses (Care Compare)

1717 Centennial Blvd
Suite 7
Springfield, OR 97477-3378
Phone (458) 205-5907

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gutierrez Holistic Family Medicine LLC CurrentSince Jul 1, 2012 Accepting new patients

Locations

1717 Centennial Blvd
Ste 7
Springfield, OR 97477
Phone (458) 205-5907

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21748/brand/1/csg/1/fhir/r4
  • Direct secure messaging: orestes.gutierrez.1@21748.direct.athenahealth.com

Organizations & group practices 1

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1558332791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 E 24TH AVE",
            "address_2": "SUITE #2",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974052907",
            "telephone_number": "541-232-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 E 24TH AVENUE",
            "address_2": "SUITE #2",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974052907",
            "telephone_number": "541-232-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "ORESTES",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO152080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.