Individual provider Active NPI

Guido Peter Gutter, M.D.

  • Plastic Surgery Physician
  • Evansville, IN
National Provider Identifier
1982703740
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
01067142A Issued in IN
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090821000412 IN Practitioner - Plastic and Reconstructive Surgery 8729093356 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Women's Hospital of Southern Indiana, LLC Plastic Surgery CurrentSince Oct 15, 2014 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 CurrentSince Oct 15, 2014 Accepting new patients
Blue Ridge Plastic Surgery Plastic Surgery PastSince Oct 25, 2006 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.