Leonard D. Guth MD PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

M5099 Issued in ID

Legal business name

LEONARD D. GUTH MD PC

Practice address

5424 N Martha Loop
Coeur D Alene, ID 83815-9143

Phone

(208) 661-7037

NPI assigned

Jun 12, 2007

Last updated

Nov 1, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leonard D Guth, M.D.

Title

Owner

Phone

(208) 661-7037

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1578767844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5424 N MARTHA LOOP",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838159143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5424 N MARTHA LOOP",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838159143",
            "telephone_number": "208-661-7037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONARD D. GUTH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "GUTH",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-661-7037",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "ID",
            "license": "M5099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB4464",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• General Practice Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.