JORGE A. GUTIERREZ (NPI# 1831247543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831247543 |
| Entity Type | Individual |
| Full Name | JORGE A. GUTIERREZ |
| Credential | M.D. |
| Practice Address |
Henry Ford Health System 2799 West Grand Boulevard Detroit MI 48202 |
| Practice Telephone | 3139162436 |
| Mailing Telephone | 3139162436 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207ZN0500X |
Pathology Specialization: Neuropathology |
4301064067 | MI | Allopathic & Osteopathic Physicians |
| X | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
4301064067 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CHAMPUS-CHAMPUS | JG064067 | 01 | |
| COMMERCIAL-COMMERCIAL NUMBER | JG064067 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982141230 | Jorge E Gutierrez | Counselor | 1214 Olmstead Ave, Bronx, NY 10462-4604 | 2017-01-25 |
| 1912539396 | Jorge Andrew Gutierrez | Counselor | 1100 N D St, San Bernardino, CA 92410-3524 | 2020-02-04 |
| 1053971259 | Jorge Gutierrez | Student in an Organized Health Care Education/Training Program | 2701 Dekalb Pike, East Norriton, PA 19401-1820 | 2019-06-19 |
| 1013342856 | Jorge Gutierrez | Physical Therapist | 1 Cedar Crest Village Dr, Pompton Plains, NJ 07444-2100 | 2013-09-12 |
| 1053585240 | Jorge L Gutierrez | Counselor | 161 Miles Ln, Watsonville, CA 95076-3127 | 2008-04-17 |
| 1659567659 | Jorge Gutierrez | Dentist | 800 Gessner Rd, Ste 250, Houston, TX 77024-4276 | 2007-09-24 |
| 1710065594 | Jorge A. Gutierrez | Pediatrics | 275 W Macarthur, Oakland, CA 94611-5641 | 2006-11-01 |
| 1043304587 | Jorge M Gutierrez | Dentist | 3822 West 16 Avenue, Hialeah, FL 33012 | 2006-10-02 |
| 1073587267 | Jorge L Gutierrez | Emergency Medicine | 1074 Calle Guajataca, Urb. Valles Del Lago, Caguas, PR 00725-7635 | 2006-02-14 |
| 1215914221 | Jorge Gutierrez | Internal Medicine | 415 S Palm Canyon Dr, Palm Springs, CA 92262-7303 | 2005-12-30 |
| Street Address |
HENRY FORD HEALTH SYSTEM 2799 WEST GRAND BOULEVARD |
| City | DETROIT |
| State | MI |
| Zip Code | 48202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336147461 | Joseph Lawrence Lelli | Surgery | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2005-07-12 |
| 1053794859 | Ali Malik | Podiatrist | Henry Ford Health System, 1 Ford Pl Ste 2e, Detroit, MI 48202 | 2015-06-30 |
| 1730389198 | Folusho Everton Ogunfiditimi | Physician Assistant | Henry Ford Health System, 2799 West Grand Blvd., Detroit, MI 48202 | 2007-07-23 |
| 1598897696 | Geoffrey S. Mwaungulu | Internal Medicine | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2007-03-12 |
| 1578606463 | Rebecca S. Lurcott | Ophthalmology | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2007-02-14 |
| 1184767949 | Jan Rival | Internal Medicine | Henry Ford Health System, 3031 West Grand Blvd., Detroit, MI 48202 | 2007-02-14 |
| 1295875342 | Vinaya Vallabhaneni | Preventive Medicine | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2007-02-07 |
| 1699821157 | Morton B. Cash | Radiology | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2007-01-26 |
| 1881748242 | Felix Umansky | Neurological Surgery | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2007-01-23 |
| 1558415901 | Sidney Goldstein | Internal Medicine | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2007-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912529801 | Aroob Nabil Nimer Sweidan | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 | 2020-05-13 |
| 1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
| 1407401250 | Santhalakshmi Angappan | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2019-08-08 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1700363892 | Zaid Al-saheli | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 | 2018-07-23 |
| 1932690096 | Yusuf Naser Alalwan | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 | 2018-05-24 |
| 1568952729 | Kelvin Sellers | Massage Therapist | 832 Seward, Detriot, MI 48202 | 2018-05-14 |
| Find all providers in zip 48202 | ||||
| Taxonomy Code | 207ZN0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Neuropathology |
| A neuropathologist is expert in the diagnosis of diseases of the nervous system and skeletal muscles and functions as a consultant primarily to neurologists and neurosurgeons. The neuropathologist is knowledgeable in the infirmities of humans as they affect the nervous and neuromuscular systems, be they degenerative, infectious, metabolic, immunologic, neoplastic, vascular or physical in nature. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pathology. The Certification is NO longer provided. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437196425 | William Joseph Kupsky | Pathology | 3990 John R St, Harper Hospital Pathology, Detroit, MI 48201-2018 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558455451 | Howard T. Chang | Pathology | 1200 E. Michigan Ave., Lower Level, Lansing, MI 48912 | 2006-10-03 |
| 1518965912 | Peter William Pick | Pathology | 1500 Weiss Street, Medical Service-neurology 111, Vamc, Saginaw, MI 48602 | 2005-07-09 |
| 1497953004 | Sriram Venneti | Pathology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2007-07-05 |
| 1528273844 | Sandra Ines Camelo-piragua | Pathology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2007-05-11 |
| 1902984438 | Joseph Fullmer | Pathology | 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2006-11-01 |
| 1669554614 | Andrew Paul Lieberman | Pathology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2006-10-19 |
| 1497837454 | Paul E Mckeever | Pathology | 1500 East Medical Center Dr, 2nd Floor University Hospital Recp Pathology, Ann Arbor, MI 48109-5054 | 2006-10-19 |
| 1982785424 | Mila Blaivas | Pathology | 1500 East Medical Center Dr, 2nd Floor University Hospital Recp Pathology, Ann Arbor, MI 48109-0054 | 2006-10-18 |
| 1750338190 | Kathryn Alicia Mcfadden | Pathology | 1500 E Medical Center Drive, 2nd Floor University Hospital Recp Pathology, Ann Arbor, MI 48109-5054 | 2006-05-30 |
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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.