Organization Active NPI

Emilio Gutierrez Jr MD PA

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1942505698
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H-4371 Issued in TX
Legal business name
EMILIO GUTIERREZ JR MD PA
Practice address
4400 Red River St
Austin, TX 78751-4010
Phone
(512) 474-9000
Fax
(512) 451-0819
NPI assigned
Jan 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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

Authorized official

Name
Emilio Gutierrez Jr., MD
Title
Owner
Phone
(512) 474-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X H-4371 TX Primary

Addresses

Primary practice location

4400 Red River St
Austin, TX 78751-4010

Mailing address

4400 Red River St
Austin, TX 78751-4010
Phone (512) 474-9000

National Provider Directory

National Provider Directory

Locations

4400 Red River St
Austin, TX 78751
Phone (512) 474-9000

NPI Registry JSON

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324252800000",
    "number": "1942505698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 RED RIVER ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787514010",
            "telephone_number": "512-474-9000",
            "fax_number": "512-451-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 RED RIVER ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787514010",
            "telephone_number": "512-474-9000",
            "fax_number": "512-451-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILIO GUTIERREZ JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-11",
        "last_updated": "2011-12-19",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "EMILIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-474-9000",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H-4371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.