Timothy R Gutshall, M.D

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

25336 Issued in IA

Practice address

1301 Pennsylvania Ave
Ste 417
Des Moines, IA 50316-2350

Phone

(515) 263-5684

NPI assigned

Nov 15, 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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253059200000",
    "number": "1881766640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 BAYBERRY CT",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503222171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PENNSYLVANIA AVE",
            "address_2": "STE 417",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503162350",
            "telephone_number": "515-263-5684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTSHALL",
        "first_name": "TIMOTHY",
        "middle_name": "R",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2009-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "25336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2105098",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3105098",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "930039017",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anneke Britt Gustafson, LISW
• Sara Len Gustason, LISW
• Dawn Renee Gustofson, RD, LD, CDE
• Kristen Elizabeth Gutknecht
• Julia Maureen Gutsch, DO
• Ann Margaret Guzman, RN
• H.O.P.E. (Honoring Opportunities for Personal Empowerment)
• Heidi Ha, ARNP
• Sally L. Haack, PHARM.D.
• Brian Peter Haag, O.D.

• Emergency Medicine Physician in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Emergency Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.

Verify at the official NPI Registry.