Active NPI
Morton R. Guthrie, CRNP
- Family Nurse Practitioner
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP007649
- Practice address
- 833 Chestnut Street
Suite 301
Philadelphia, PA 19107-4405 - Phone
- (215) 955-7190
- Fax
- (215) 923-9186
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | SP007649 | PA | |
| Family Nurse Practitioner | 363LF0000X | SP007649 | PA | Primary |
Addresses
Primary practice location
833 Chestnut Street
Suite 301
Philadelphia, PA 19107-4405
Mailing address
833 Chestnut Street
Suite 301
Philadelphia, PA 19107-4405
Phone (215) 955-7190
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1863628 | Other | PA | HIGHMARK BLUE SHIELD |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP007649 | PA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson University Physicians | Current | Accepting new patients |
Locations
3998 Red Lion Rd
Philadelphia, PA 19114
Phone (215) 612-4060
925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760
833 Chestnut St
Frnt 3
Philadelphia, PA 19107
Phone (215) 955-5800
833 Chestnut St
Ste 301
Philadelphia, PA 19107
Phone (215) 955-2363
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.
-
- General Practice Physician
- Philadelphia, PA
- NPI 1326093675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366848000000",
"number": "1669413209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 CHESTNUT STREET",
"address_2": "SUITE 301",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074405",
"telephone_number": "215-955-7190",
"fax_number": "215-923-9186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 CHESTNUT STREET",
"address_2": "SUITE 301",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074405",
"telephone_number": "215-955-7190",
"fax_number": "215-923-9186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTHRIE",
"first_name": "MORTON",
"middle_name": "R.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2013-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "SP007649",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP007649",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "1863628",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.