Active NPI
Guido Peter Gutter, M.D.
- Plastic Surgery Physician
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 01067142A
- Practice address
- 1020 Professional Blvd
Ste.B
Evansville, IN 47714-8009 - Phone
- (812) 477-8808
- Fax
- (812) 477-9669
- NPI assigned
- Sep 21, 2006
- Last updated
- Jan 25, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 0101240846 | VA | |
| Plastic Surgery Physician | 208200000X | 01067142A | IN | Primary |
Addresses
Primary practice location
1020 Professional Blvd
Ste.B
Evansville, IN 47714-8009
Mailing address
1020 Professional Blvd
Suite B
Evansville, IN 47714-8009
Phone (812) 477-8808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4199 Gateway Blvd
Newburgh, IN 47630-8940
Phone (812) 842-4200
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Women's Hospital of Southern Indiana, LLC | Plastic Surgery | Current | Accepting new patients |
| Deaconess Women's Hospital of Southern Indiana, LLC | Plastic Surgery | Current | Accepting new patients |
| Deaconess Women's Hospital of Southern Indiana, LLC | Current | Accepting new patients | |
| Blue Ridge Plastic Surgery | Plastic Surgery | Past | Accepting new patients |
| Evansville Plastic Surgical Associates | Plastic Surgery | Past | Accepting new patients |
| The Women's Hospital | Past | Accepting new patients |
Locations
4055 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-2210
4199 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-4200
Interoperability endpoints
- ggutter35025@direct.deaconess.com
Organizations & group practices 6
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.
-
dba Anesthesia Services at The Women's Hospital
- Anesthesiology Physician
- Newburgh, IN
- NPI 1245272921
Plastic Surgery
-
- Plastic Surgery Physician
- Martinsville, VA
- NPI 1487732459
-
dba The Women's Hospital Provider Services
- Gynecologic Oncology Physician
- Newburgh, IN
- NPI 1114297801
Plastic Surgery
-
- Non-Surgical Family Planning Clinic/Center
- Evansville, IN
- NPI 1609689561
-
dba Epsa
- Plastic Surgery Physician
- Evansville, IN
- NPI 1750343893
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba The Women's Hospital
- General Acute Care Hospital
- Newburgh, IN
- NPI 1114023512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327449600000",
"number": "1982703740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 PROFESSIONAL BLVD",
"address_2": "SUITE B",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477148009",
"telephone_number": "812-477-8808",
"fax_number": "812-477-9669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 PROFESSIONAL BLVD",
"address_2": "STE.B",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477148009",
"telephone_number": "812-477-8808",
"fax_number": "812-477-9669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTTER",
"first_name": "GUIDO",
"middle_name": "PETER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2012-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "VA",
"license": "0101240846",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "IN",
"license": "01067142A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.