ERNESTO GUTIERREZ (NPI# 1255330718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255330718 |
| Entity Type | Individual |
| Full Name | ERNESTO GUTIERREZ |
| Credential | MD |
| Practice Address |
755 Norman Dr Lebanon PA 17042-7497 |
| Practice Telephone | 7172736706 |
| Practice Fax Number | 7172731435 |
| Mailing Telephone | 7172736706 |
| Mailing Fax Number | 7172731435 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2010-02-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
MD428609 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | CAPITAL BLUE CROSS | 50058270 | 01 |
| PA | GATEWAY | 1552372 | 01 |
| PA | HIGHMARK BLUE SHIELD | GU136434 | 01 |
| PA | 1015455900001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851863641 | Ernesto Gutierrez Jr. | Physical Therapist | 22211 Ih 10 W Ste 1206, San Antonio, TX 78257-1742 | 2018-12-18 |
| 1366595605 | Ernesto Gutierrez | Internal Medicine | 1260 S Campbell Ave Bldg 2, Green Valley, AZ 85614-0502 | 2007-01-19 |
| 1831191725 | Ernesto Gutierrez | Internal Medicine | 1224 Graham Rd, Suite 3008, Florissant, MO 63031-8028 | 2005-08-11 |
| Street Address |
755 NORMAN DR |
| City | LEBANON |
| State | PA |
| Zip Code | 17042-7497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962910372 | Gwendolyn Sumter-davis | Nurse Practitioner | 755 Norman Dr, Lebanon, PA 17042-7497 | 2018-01-19 |
| 1205347481 | Patrick Lello | Physician Assistant | 755 Norman Dr, Lebanon, PA 17042-7497 | 2017-10-16 |
| 1912418146 | Katie Nicole Dresch | Physician Assistant | 755 Norman Dr, Lebanon, PA 17042-7497 | 2017-10-16 |
| 1467974139 | Maria Huffman | Nurse Practitioner | 755 Norman Dr, Lebanon, PA 17042-7497 | 2017-07-13 |
| 1134534571 | Joji James | Internal Medicine | 755 Norman Dr, Lebanon, PA 17042-7497 | 2014-06-24 |
| 1891078937 | Danielle L. Poltersdorf | Physician Assistant | 755 Norman Dr, Credentials Dept, Lebanon, PA 17042-7497 | 2011-09-26 |
| 1245563436 | Adeel Ahmed Siddiqui | Internal Medicine | 755 Norman Dr, Lebanon, PA 17042-7497 | 2009-09-07 |
| 1942439260 | Georgett Zaki | Internal Medicine | 755 Norman Dr, Lebanon, PA 17042-7497 | 2009-07-08 |
| 1861636995 | Esther Voynow | Physician Assistant | 755 Norman Dr, Lebanon, PA 17042-7497 | 2009-04-20 |
| 1134342496 | Adam J Albert | Internal Medicine | 755 Norman Dr, Lebanon, PA 17042-7497 | 2007-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
| 1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
| 1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
| 1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
| 1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
| 1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
| Find all providers in zip 17042 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1831585710 | Matthew J White | Internal Medicine | One Medical Center Dr, Lebanon, NH 03756-0001 | 2015-04-08 |
| 1396905782 | Tehniat Haider | Internal Medicine | 2705 N Lebanon St Ste 265, Lebanon, IN 46052-8621 | 2008-06-10 |
| 1942360136 | Francis J. Gallagher | Internal Medicine | 755 Norman Drive, Lebanon, PA 17042-7497 | 2006-12-11 |
| 1588744718 | Christopher Mark Burns | Internal Medicine | 1 Medical Center Dr, Dhmc Rheumatology, Lebanon, NH 03756-1000 | 2006-10-16 |
| 1679661433 | Stephanie Danielle Mathew | Internal Medicine | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-10-10 |
| 1700992583 | William Fc Rigby | Internal Medicine | 1 Medical Center Dr, Dhmc Rheumatology, Lebanon, NH 03756-1000 | 2006-08-22 |
| 1366463861 | Lin Anita Brown | Internal Medicine | 1 Medical Center Dr, Dhmc Rheumatology, Lebanon, NH 03756-1000 | 2006-07-21 |
| 1386670636 | Daniel A Albert | Internal Medicine | 1 Medical Center Drive, Dartmouth Hitchcock Medical Center, Rheumatology, Lebanon, NH 03756-0001 | 2006-06-25 |
| 1235101429 | Robert W Simms | Internal Medicine | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-02-02 |
| 1134112337 | David Charles Trostle | Internal Medicine | 755 Norman Dr, Lebanon, PA 17042-7497 | 2005-08-24 |
| Find all providers in LEBANON | ||||
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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.