Organization Active NPI

Dr. Astrid Gutsmann PA

  • Family Medicine Physician
  • Allen, TX
National Provider Identifier
1780614966
Registry record updated Dec 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M0422 Issued in TX
Legal business name
DR. ASTRID GUTSMANN PA
Practice address
411 E McDermott Dr
Allen, TX 75002-2854
Phone
(972) 227-3464
Fax
(877) 879-2911
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2010

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

Authorized official

Name
Dr. Astrid Gutsmann, DO, PH.D.
Title
Medical Director
Phone
(972) 227-3464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X M0422 TX Primary

Addresses

Primary practice location

411 E McDermott Dr
Allen, TX 75002-2854

Mailing address

411 E McDermott Dr
Allen, TX 75002-2854
Phone (972) 227-3464

Other identifiers 2

IdentifierTypeStateIssuer
0031NKOtherTXBCBS
181071501MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1780614966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 E MCDERMOTT DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750022854",
            "telephone_number": "972-227-3464",
            "fax_number": "877-879-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E MCDERMOTT DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750022854",
            "telephone_number": "972-227-3464",
            "fax_number": "877-879-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ASTRID GUTSMANN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "GUTSMANN",
        "authorized_official_first_name": "ASTRID",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "972-227-3464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO, PH.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M0422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0031NK",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181071501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.