Stanley N Gutelius, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

104577 Issued in NY

Practice address

119 North St
Auburn, NY 13201

Phone

(315) 253-2716

Fax

(315) 253-2918

NPI assigned

Jul 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871515445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 NORTH ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "13021",
            "telephone_number": "315-253-2716",
            "fax_number": "315-253-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 NORTH ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "13201",
            "telephone_number": "315-253-2716",
            "fax_number": "315-253-2918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTELIUS",
        "first_name": "STANLEY",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "104577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00449629",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Patricia Guarino, REGISTERED NURSE
• Dinah Guarino, NP
• Mary Guidone, COTA
• Shana Lea Guiffrida, LMSW
• Alec Charles Gush, DDS
• Jessica Hackett
• Ashley Hadden, RDH
• Nicolette Hai, LMT
• Elizabeth Haines
• Minna Lauren Hancock, D.O.

• Internal Medicine Physician in Auburn, NY
• Providers in Auburn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.