Gerardo Gutierrez, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

2001022240 Issued in MO

Practice address

7245 Raider Rd
Bonne Terre, MO 63628-3767

Phone

(573) 468-4186

NPI assigned

Jul 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Emergency Medicine

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeastern Emergency Physicians of Memphis LLCGroup PAC ID 5395643209, 92 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pike County Memorial Hospital Hospital, Louisiana, MO, CCN 261333

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ggutierrez134442@direct.carenet.org

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.

• Southeastern Emergency Physicians of Memphis LLC

  • Emergency Medicine Physician
  • Alton, IL
  • NPI 1437105277

  MO

  Medicare reassignment Care Compare group NPD
• BC Missouri Emergency Physicians LLP

  • Hospitalist Physician
  • Bonne Terre, MO
  • NPI 1902150444

  Emergency Medicine

  NPD (past)
• BC Missouri Emergency Physicians, LLP

  • Emergency Medicine Physician
  • Saint Louis, MO
  • NPI 1003831678
  NPD (past)
• BC Missouri Emergency Physicians, LLP

  • Emergency Medicine Physician
  • Farmington, MO
  • NPI 1396760062
  NPD (past)
• BC Missouri Emergency Physicians, LLP

  • Emergency Medicine Physician
  • Saint Peters, MO
  • NPI 1538184106
  NPD (past)
• BC Missouri Emergency Physicians, LLP

  • Emergency Medicine Physician
  • Sullivan, MO
  • NPI 1679598247
  NPD (past)
• BC Missouri Emergency Physicians, LLP

  • Emergency Medicine Physician
  • Bonne Terre, MO
  • NPI 1952326621
  NPD (past)
• Physician Groups LC

  • Multi-Specialty Clinic/Center
  • Saint Louis, MO
  • NPI 1285664268
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pike County Memorial Hospital

  • Critical Access Hospital
  • Louisiana, MO
  • NPI 1205837218
  Care Compare affiliation

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232323200000",
    "number": "1679599518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 REMITT DRIVE",
            "address_2": "LOCKBOX 1900",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606751900",
            "telephone_number": "866-916-5259",
            "fax_number": "231-922-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7245 RAIDER RD",
            "city": "BONNE TERRE",
            "state": "MO",
            "postal_code": "636283767",
            "telephone_number": "573-468-4186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "GERARDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2009-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01046504A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2001022240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205762123",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205762107",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679599518",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205762149",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "106267A005",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Fields, NRP
• Ethan Cole Forney
• Rachel Ann Francis, FNP-BC
• Joann Franklin, DNP,RN,FNP-BC,GNP-BC
• Erica Rene Gruhala
• Erika Hahn
• Harps Food Stores, Inc
• Logan Dwayne Hedrick
• Lauren Michelle Hills, PHARMD
• Susan K Holman, R.PH.

• Emergency Medicine Physician in Bonne Terre, MO
• Providers in Bonne Terre, MO by specialty
• Emergency Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.