Active NPI
Petra Gurtner, MD
- Neurological Surgery Physician
- Norfolk, VA
National Provider Identifier
1598859761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 0101056357
- Practice address
- 229 W Bute St
Suite 800
Norfolk, VA 23510-1405 - Phone
- (757) 622-1003
- Fax
- (757) 622-1108
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 0101056357 | VA | Primary |
Addresses
Primary practice location
229 W Bute St
Suite 800
Norfolk, VA 23510-1405
Mailing address
229 W Bute St
Suite 800
Norfolk, VA 23510-1405
Phone (757) 622-1003
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1400005733 | Other | VA | RAILROAD MEDICARE |
| 213281 | Other | VA | CIGNA |
| 257818 | Other | VA | ANTHEM |
| 541375516 | Other | VA | FIRST HEALTH |
| 0004462765 | Other | VA | AETNA |
| 6104916 | Medicaid | VA | |
| 11481 | Other | VA | OPTIMA |
| 790556Q | Medicaid | NC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258675200000",
"number": "1598859761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 W BUTE ST",
"address_2": "SUITE 800",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235101405",
"telephone_number": "757-622-1003",
"fax_number": "757-622-1108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 W BUTE ST",
"address_2": "SUITE 800",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235101405",
"telephone_number": "757-622-1003",
"fax_number": "757-622-1108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GURTNER",
"first_name": "PETRA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2009-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "VA",
"license": "0101056357",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "1400005733",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "213281",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "257818",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "541375516",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0004462765",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6104916",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA",
"identifier": "11481",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "790556Q",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.