Kathleen A. Gutman, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35070464 Issued in OH

Practice address

1516 Yankee Park PL
Dayton, OH 45458-1878

Phone

(937) 438-1115

Fax

(937) 438-1291

NPI assigned

Apr 19, 2006

Sex

Female

Sole proprietor

No

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

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kathleen.gutman.1@237.direct.athenahealth.com

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.

• Providence Medical Group

  • Family Medicine Physician
  • Dayton, OH
  • NPI 1972533149

  Pediatrics

  Medicare reassignment NPD
• Dayton Children'S Specialty Physicians, Inc.

  • Pediatrics Physician
  • Dayton, OH
  • NPI 1225192610
  NPD
• Providence Medical Group, Inc.

  • Diagnostic Radiology Physician
  • Moraine, OH
  • NPI 1659726768
  NPD

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1639134992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 YANKEE PARK PL",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454581878",
            "telephone_number": "937-438-1115",
            "fax_number": "937-438-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 YANKEE PARK PL",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454581878",
            "telephone_number": "937-438-1115",
            "fax_number": "937-438-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTMAN",
        "first_name": "KATHLEEN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35070464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0248404",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stetson D Gustafson
• Kimberly A Guthridge, RN
• Meghann Guthrie
• Shaylynn June Guthrie, MD
• Pura Isabel Gutierrez Mirabal, MD
• Eric Jacob Guttenberg, PHARM.D.
• Amanda Brooke Gutwein, D.O
• Michelle Lee Guy, RN
• Yolanda Guy
• Melissa Guzman

• Pediatrics Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.