DR. JEFFREY MICHAEL GUTMAN (NPI# 1013077866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013077866 |
Entity Type | Individual |
Full Name | DR. JEFFREY MICHAEL GUTMAN |
Credential | DO |
Practice Address |
16407 Southfield Rd Allen Park MI 48101 |
Mailing Address |
Po Box 77000 Dept 771255 Detroit MI 48277-2000 |
Practice Telephone | 3132713000 |
Practice Fax Number | 3132713003 |
Mailing Telephone | 3132713000 |
Mailing Fax Number | 3132718136 |
Enumeration Date | 2006-12-11 |
Last Update Date | 2019-01-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
5101016246 | MI | Allopathic & Osteopathic Physicians |
N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
005280 | AZ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 450852 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
14752 Northline Rd, Southgate, MI 481952698 | 7342855030 | 7342858223 |
16407 Southfield Rd, Allen Park, MI 48101 | 3132713000 | 3132713003 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083649248 | Jeffrey John Gutman | Specialist | 14850 Los Gatos Blvd, Los Gatos, CA 95032-2011 | 2006-07-12 |
Street Address |
16407 SOUTHFIELD RD |
City | ALLEN PARK |
State | MI |
Zip Code | 48101 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477554699 | Syed Shah Ali Akbar | Internal Medicine | 16407 Southfield Rd, Allen Park, MI 48101-2571 | 2005-08-10 |
1790310530 | Kristin Ashley Glaab-chandy | Nurse Practitioner | 16407 Southfield Rd, Allen Park, MI 48101-2571 | 2020-03-11 |
1396869665 | Fadi Musa Abuhmaid | Internal Medicine | 16407 Southfield Rd, Allen Park, MI 48101 | 2007-03-19 |
1225103740 | Nephrology Hypertension Clinic PC | Internal Medicine | 16407 Southfield Rd, Allen Park, MI 48101 | 2006-11-21 |
1689696106 | Praveena Koneru | Internal Medicine | 16407 Southfield Rd, Allen Park, MI 48101 | 2006-07-24 |
1437118106 | Sudheer R Ummadi | Internal Medicine | 16407 Southfield Rd, Allen Park, MI 48101 | 2006-03-21 |
1821099045 | Pinnamaneni Ramakrishna Prasad | Internal Medicine | 16407 Southfield Rd, Ste A, Allen Park, MI 48101-2571 | 2005-08-10 |
1538160742 | Krishnapillai Thavarajah | Internal Medicine | 16407 Southfield Rd, Ste A, Allen Park, MI 48101-2571 | 2005-08-10 |
1962403170 | Naushad Pervez | Internal Medicine | 16407 Southfield Rd, Ste A, Allen Park, MI 48101-2571 | 2005-08-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184126633 | Monica Yalamanchili | Physical Therapist | 7445 Regina Ave, Allen Park, MI 48101 | 2018-03-01 |
1669928685 | Saad Khizar Usmani | Dentist | 6760 Allen Road, Suite 101, Allen Park, MI 48101 | 2016-08-30 |
1265778385 | Rx Discount Pharmacy | Pharmacy | 6811 Allen Rd, Allen Park, MI 48101 | 2012-12-18 |
1841540333 | Semaj Amia Dunson | Counselor | 4485 Willow Cove Blvd, Apt-a2, Allen Park, MI 48101 | 2012-09-12 |
1356678866 | Stephanie A Rea | Family Medicine | 8338 Allen Road, Suite 101, Allen Park, MI 48101 | 2009-11-05 |
1811133952 | John A. Newell | Family Medicine | 14839 Markese, Allen Park, MI 48101 | 2008-12-19 |
1497924203 | Kimberly Ann Polchlopek | Massage Therapist | 7740 Allen Rd, Allek Park, MI 48101 | 2008-02-26 |
1518177997 | Dana Marie Olson | Obstetrics & Gynecology | Oakwood Healthcare Center Allen Park, 15915 Southfield Road, Suite 100, Allen Park, MI 48101 | 2007-05-23 |
1316164098 | Early Solutions Clinic, LLC | Clinic/Center | 3555 Fairland Blvd., Allen Park, MI 48101 | 2007-04-20 |
1730201427 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 3565 Fairlane Dr., Allen Park, MI 48101 | 2007-04-04 |
Find all providers in zip 48101 |
Taxonomy Code | 207RN0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Nephrology |
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053466094 | Nephrology Hypertension Clinic, PC | Internal Medicine | 16407 Southfield Rd Ste A, Allen Park, MI 48101-2571 | 2007-01-23 |
1477554699 | Syed Shah Ali Akbar | Internal Medicine | 16407 Southfield Rd, Allen Park, MI 48101-2571 | 2005-08-10 |
1326049537 | Anand N Hiremath | Internal Medicine | 16407 Southfield Rd Ste 207, Allen Park, MI 48101-2571 | 2005-08-10 |
1457604613 | Putha Limb Care Plc | Internal Medicine | 16507 Southfield Rd, Allen Park, MI 48101-2503 | 2012-10-24 |
1225103740 | Nephrology Hypertension Clinic PC | Internal Medicine | 16407 Southfield Rd, Allen Park, MI 48101 | 2006-11-21 |
1689696106 | Praveena Koneru | Internal Medicine | 16407 Southfield Rd, Allen Park, MI 48101 | 2006-07-24 |
1437118106 | Sudheer R Ummadi | Internal Medicine | 16407 Southfield Rd, Allen Park, MI 48101 | 2006-03-21 |
1821099045 | Pinnamaneni Ramakrishna Prasad | Internal Medicine | 16407 Southfield Rd, Ste A, Allen Park, MI 48101-2571 | 2005-08-10 |
1538160742 | Krishnapillai Thavarajah | Internal Medicine | 16407 Southfield Rd, Ste A, Allen Park, MI 48101-2571 | 2005-08-10 |
1962403170 | Naushad Pervez | Internal Medicine | 16407 Southfield Rd, Ste A, Allen Park, MI 48101-2571 | 2005-08-10 |
Find all providers in ALLEN PARK |
City | ALLEN PARK |
Zip Code | 48101 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.