ERNESTO GUTIERREZ (NPI# 1366595605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366595605 |
| Entity Type | Individual |
| Full Name | ERNESTO GUTIERREZ |
| Credential | MD |
| Practice Address |
1260 S Campbell Ave Bldg 2 Green Valley AZ 85614-0502 |
| Mailing Address |
Po Box 188 Marana AZ 85653-0188 |
| Practice Telephone | 5204075400 |
| Practice Fax Number | 5204075990 |
| Mailing Telephone | 5208183616 |
| Mailing Fax Number | 5208183630 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2020-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 16627 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 277401 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 17388 W. 3rd Street, Arivaca, AZ 85601 | 5204075500 | 5204075990 |
| 3690 S Park Ave, # 805, Tucson, AZ 857135069 | 5206166760 | 5206166799 |
| 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 |
| 1255330718 | Ernesto Gutierrez | Internal Medicine | 755 Norman Dr, Lebanon, PA 17042-7497 | 2005-07-18 |
| 1831191725 | Ernesto Gutierrez | Internal Medicine | 1224 Graham Rd, Suite 3008, Florissant, MO 63031-8028 | 2005-08-11 |
| Street Address |
1260 S CAMPBELL AVE BLDG 2 |
| City | GREEN VALLEY |
| State | AZ |
| Zip Code | 85614-0502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023624129 | Wesley J Rowlette | Physician Assistant | 1260 S Campbell Ave Bldg 2, Green Valley, AZ 85614-0502 | 2020-09-23 |
| 1477172336 | Luis F Lozano | Physician Assistant | 1260 S Campbell Ave Bldg 2, Green Valley, AZ 85614-0502 | 2020-04-10 |
| 1811546625 | Greg Reinhart | Physician Assistant | 1260 S Campbell Ave Bldg 2, Green Valley, AZ 85614-0502 | 2019-09-05 |
| 1417480427 | Lindsay Ann Bouchard | Nurse Practitioner | 1260 S Campbell Ave Bldg 2, Green Valley, AZ 85614-0502 | 2017-04-06 |
| 1790140945 | Nancy Riley-williams | Nurse Practitioner | 1260 S Campbell Ave Bldg 2, Green Valley, AZ 85614-0503 | 2015-12-15 |
| 1316334477 | Sara Nicole Coutts | Dentist | 1260 S Campbell Ave Bldg 2, Green Valley, AZ 85614-0503 | 2015-04-16 |
| 1083814818 | Elizabeth Irene Katz | Dentist | 1260 S Campbell Ave Bldg 2, Green Valley, AZ 85614-0503 | 2007-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773791 | Medavail Pharmacy Inc. | Pharmacy | 5750 S Turquoise Canyon Dr, Green Valley, AZ 85614 | 2019-04-29 |
| 1447742788 | Shanae Murphy | Nurse Practitioner | 1260 S Campbell Ave Unit 2, Green Valley, AZ 85614 | 2018-06-02 |
| 1487173332 | Chirocade, Inc. | Chiropractor | 380 W Vista Hermosa Dr., Ste # 100, Green Valley, AZ 85614 | 2017-09-12 |
| 1922536150 | Melinda Suzanne Prado | Dental Hygienist | 1260 S Campbell Rd Bldg 2, Green Valley, AZ 85614 | 2017-06-01 |
| 1295274579 | Nitika Sharma | Dentist | Dental Village, 140 W Duval Mine Rd, Green Valley, AZ 85614 | 2017-02-19 |
| 1508212960 | Amy Priftakis | Nurse Practitioner | 4455 N I-19 Frontage Rd., Green Valley, AZ 85614 | 2016-05-04 |
| 1730547134 | Cope Community Services, Inc. | Psychiatry & Neurology | 1660 W Commerce Point Pl, Green Valley, AZ 85614 | 2016-02-01 |
| 1548656457 | Southern Arizona Sleep Solutions | Durable Medical Equipment & Medical Supplies | 261 W Duval Road, Green Valley, AZ 85614 | 2015-04-08 |
| 1770978041 | Empower Green Valley Pllc | Emergency Medicine | 4455 S. I-19 Frontage Road, Greenvalley, AZ 85614 | 2015-04-02 |
| 1295125078 | Gv Hospital Management LLC | General Acute Care Hospital | 4455 South I-19 Frontage Road, Green Valley, AZ 85614 | 2015-01-30 |
| Find all providers in zip 85614 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1942721865 | Stephanie Fakhry Tonos | Internal Medicine | 1295 W Duval Mine Rd Ste 101, Green Valley, AZ 85614-5004 | 2017-06-30 |
| 1386096535 | Yuzhou Liu | Internal Medicine | 4455 S I 19 Frontage Rd, Green Valley, AZ 85614-5884 | 2016-07-11 |
| 1912317579 | Tia Heng | Internal Medicine | 400 W Camino Casa Verde Ste 100, Green Valley, AZ 85614-3569 | 2014-05-05 |
| 1043547011 | Lawrence H.e. Smith | Internal Medicine | 4611 S. Camino Del Tejon, Green Valley, AZ 85622 | 2009-11-11 |
| 1861628554 | Charles I Barta | Internal Medicine | 1780 E Redstart Rd, Green Valley, AZ 85614-6012 | 2009-06-08 |
| 1356350615 | Rashmi Chhabra | Internal Medicine | 120 W Calle De Las Tiendas, Green Valley, AZ 85614 | 2006-08-05 |
| 1316985435 | Ruben Calvillo | Internal Medicine | 1141 S La Canada Dr, Green Valley, AZ 85614-1945 | 2006-06-02 |
| 1568441566 | Vicki L Greiff | Internal Medicine | 514 E Whitehouse Canyon Rd, Suite 110, Green Valley, AZ 85614-0538 | 2006-01-10 |
| 1316935042 | Fred P Mendoza | Internal Medicine | 1055 N. Lacanada Blvd, Suite 121, Green Valley, AZ 85614 | 2005-10-06 |
| 1790772036 | Chad Allen Prior | Internal Medicine | 1055 N. La Canada Blvd, Suite 121, Green Valley, AZ 85614 | 2005-10-03 |
| Find all providers in GREEN VALLEY | ||||
| City | GREEN VALLEY |
| Zip Code | 85614 |
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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.