Individual provider Active NPI

Scott R Gutowski, D.O.

  • Family Medicine Physician
  • Jonesville, MI
National Provider Identifier
1689690158
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101014795 Issued in MI
Practice address
216 Olds St
Jonesville, MI 49250-1128
Phone
(517) 849-7100
Fax
(517) 849-2453
NPI assigned
Jul 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101014795 MI Primary

Addresses

Primary practice location

216 Olds St
Jonesville, MI 49250-1128

Mailing address

216 Olds St
Jonesville, MI 49250-1128
Phone (517) 849-7100

Other identifiers 6

IdentifierTypeStateIssuer
0120255OtherMIPHP
0853000175OtherMIBCBS
P00032160OtherMIRR MCR
GLHPOtherMI143119
7537437OtherMIAETNA
SG014795OtherMIBCN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20031204000602 MI Practitioner - Family Practice 8123923398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jonesville Health Care PLLCGroup PAC ID 8426953696, 2 clinicians

Practice addresses (Care Compare)

206 Olds St
Jonesville, MI 49250-1128
Phone (517) 849-7100

Hospital & facility affiliations

  • Elara Caring Home health agency, Jackson, MI, CCN 237274
  • Hillsdale Hospital Home health agency, Hillsdale, MI, CCN 237409
  • Hillsdale Hospital Hospital, Hillsdale, MI, CCN 230037
  • Henry Ford Allegiance Health Hospital, Jackson, MI, CCN 230092
  • Insight Hospital and Medical Center Coldwater Hospital, Coldwater, MI, CCN 230022

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Jonesville Healthcare PLLC CurrentSince Jan 1, 2004 Accepting new patients
Jonesville Health Care PLLC Family Medicine CurrentSince Jan 1, 2004 Accepting new patients
Aesculapius PC Past Accepting new patients

Locations

206 Olds St
Jonesville, MI 49250
Phone (517) 849-7100

216 Olds St
Jonesville, MI 49250
Phone (517) 849-7100

Interoperability endpoints

  • Direct secure messaging: scottgutowski@jhc.allscriptsdirect.net
  • Direct secure messaging: sgutowski620427@direct.hfhs.org

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689690158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 OLDS ST",
            "city": "JONESVILLE",
            "state": "MI",
            "postal_code": "492501128",
            "telephone_number": "517-849-7100",
            "fax_number": "517-849-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 OLDS ST",
            "city": "JONESVILLE",
            "state": "MI",
            "postal_code": "492501128",
            "telephone_number": "517-849-7100",
            "fax_number": "517-849-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTOWSKI",
        "first_name": "SCOTT",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101014795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "0120255",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0853000175",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P00032160",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "143119",
            "identifier": "GLHP",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7537437",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "SG014795",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesville, MI

Sources for this page

Verify at the official NPI Registry.