Active NPI
David Guttman, M.D.
- Pediatrics Physician
- Tallahassee, FL
National Provider Identifier
1811968910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME61294
- Practice address
- 2416 E Plaza Dr
Tallahassee, FL 32308-5301 - Phone
- (850) 877-7123
- Fax
- (850) 878-7036
- NPI assigned
- Jan 28, 2006
- Last updated
- Oct 1, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME61294 | FL | Primary |
Addresses
Primary practice location
2416 E Plaza Dr
Tallahassee, FL 32308-5301
Mailing address
6405 Jamaica CT
Tallahassee, FL 32309-2401
Phone (850) 893-4529
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 371051300 | Medicaid | FL |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME61294 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS Peele & Deeb PA | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254355200000",
"number": "1811968910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6405 JAMAICA CT",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323092401",
"telephone_number": "850-893-4529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2416 E PLAZA DR",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085301",
"telephone_number": "850-877-7123",
"fax_number": "850-878-7036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTTMAN",
"first_name": "DAVID",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-28",
"last_updated": "2009-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME61294",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "371051300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.