Charles John Gutierrez (NPI# 1104807627, PAC ID# 7719928704) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
| Nation Provider ID (NPI) | 1104807627 |
| PAC ID by PECOS | 7719928704 |
| Professional Enrollment ID | I20050519000923 |
| Full Name | Charles John Gutierrez |
| Organization Legal Name | EAST TEXAS SURGICAL ASSOCIATES, PA |
| Address |
9825 Eagle Dr Mont Belvieu TX 77523-9847 |
| Phone Number | 4099248600248600 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CALIFORNIA, UCLA SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | VASCULAR SURGERY |
| Group Practice PAC ID | 8022059013 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 350 Pine St, Suite 1415, Beaumont, TX 77701-2437 | 4099248600 | EAST TEXAS SURGICAL ASSOCIATES, PA |
| 1521 S Staples St, Suite 150, Corpus Christi, TX 78404-3150 | 3618824000 | EAST TEXAS SURGICAL ASSOCIATES, PA |
| 9825 Eagle Dr, Mont Belvieu, TX 77523-9847 | 4099248600248600 | EAST TEXAS SURGICAL ASSOCIATES, PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 94% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 2% | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 40% | |
| MIPS_EC_047_overall | Care Plan | 14% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 100% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 85% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 98% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | EAST TEXAS SURGICAL ASSOCIATES, PA |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary M Wilcox | Nurse Practitioner | East Texas Surgical Associates, Pa | 350 Pine St, Suite 1415, Beaumont, TX 77701-2437 |
| Rayah A Ismail | Nurse Practitioner | East Texas Surgical Associates, Pa | 350 Pine St, Suite 1415, Beaumont, TX 77701-2437 |
| Sheri Macrino | Interventional Radiology | East Texas Surgical Associates, Pa | 1521 S Staples St, Suite 150, Corpus Christi, TX 78404-3150 |
| James Wallace Schlotter | General Surgery | East Texas Surgical Associates, Pa | 1521 S Staples St, Suite 150, Corpus Christi, TX 78404-3150 |
| Street Address |
9825 EAGLE DR |
| City | MONT BELVIEU |
| State | TX |
| Zip | 77523-9847 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yen-linh H Hoang | Optometry | Baymont Eyecare Pllc | 8700 N Hwy 146, Baytown, TX 77523 |
| Roman Jules Carpenter | Nurse Practitioner | Doctors Express of The Beaumont Area Pa | 8831 N Hwy 146, Doctors Express, Baytown, TX 77523 |
| Abelardo Martinez | Nurse Practitioner | Doctors Express of The Beaumont Area Pa | 8831 N Hwy 146, Doctors Express, Baytown, TX 77523 |
| Lewis N Debarge | Nurse Practitioner | Doctors Express of The Beaumont Area Pa | 8831 N Hwy 146, Doctors Express, Baytown, TX 77523 |
| Mitzi Ann Lacey | Chiropractic | 4520 S Fm 565 Rd, Baytown, TX 77523-4884 | |
| Sanjeeda Jabeen | Internal Medicine | Tmh Physician Associates Pllc | 8608 N Hwy 146 600, Houston Methodist Primary Care Group, Baytown, TX 77523-7506 |
| Katasha E Lindley | Family Medicine | Tmh Physician Associates Pllc | 8608 N Hwy 146 600, Houston Methodist Primary Care Group, Baytown, TX 77523-7506 |
| Brigit A Hines | Nurse Practitioner | Mont Belvieu Urgent and Family Care LLC | 9235 N Hwy 146, Suite 2, Mont Belvieu, TX 77523-9503 |
| Joan A Wood | Nurse Practitioner | Mont Belvieu Urgent and Family Care LLC | 9235 N Hwy 146, Suite 2, Mont Belvieu, TX 77523-9503 |
| Michael D Henderson | Nurse Practitioner | Mont Belvieu Urgent and Family Care LLC | 9235 N Hwy 146, Suite 2, Mont Belvieu, TX 77523-9503 |
| Find all physicians in zip 77523 | |||
| City | MONT BELVIEU |
| Zip Code | 77523 |
| Specialty | VASCULAR SURGERY |
| City + Specialty | MONT BELVIEU + VASCULAR SURGERY |
Please comment or provide details below to improve the information on Charles John Gutierrez.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.