Robert W Gutekunst, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

036065222 Issued in IL

Practice address

Broadway at 11TH
Blessing Hospital
Quincy, IL 62301

Phone

(217) 223-8400

Fax

(217) 223-6984

NPI assigned

Jun 11, 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)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• South Shore Hospital Corporation

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1053391359
  NPD (past)
• Fort Wayne Gi Pathology Services, PC, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Fort Wayne, IN
  • NPI 1821133901
  NPD (past)
• Indiana Pathology Consultants, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Fort Wayne, IN
  • NPI 1467597062
  NPD (past)

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427414400000",
    "number": "1982646337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 CATAMARAN CT",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623058281",
            "telephone_number": "217-223-8400",
            "fax_number": "217-223-6984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BROADWAY AT 11TH",
            "address_2": "BLESSING HOSPITAL",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "62301",
            "telephone_number": "217-223-8400",
            "fax_number": "217-223-6984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTEKUNST",
        "first_name": "ROBERT",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2015-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "036065222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100325410",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lee Guilfoyle, M.S.ED., LCPC, NCC
• Melinda E. Gunterman, PT
• Henry Guoti
• Yati Gupta, MD
• Heather Katherine Gustison
• Brianne Blythe Guymon, MS, ATC
• Robert Haag, MD
• Robert J Haas, LCSW
• Mike Horst Hackmann, M.D.
• Susan E. Haerr, MA, LCPC, LPHA

• Anatomic Pathology & Clinical Pathology Physician in Quincy, IL
• Providers in Quincy, IL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; 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.