DR. JASON J GUTT (NPI# 1023175478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023175478 |
| Entity Type | Individual |
| Full Name | DR. JASON J GUTT |
| Credential | M.D. |
| Practice Address |
5255 E Stop 11 Rd Suite 400 Indianapolis IN 46237-6341 |
| Mailing Address |
9002 N Meridian St Suite 222 Indianapolis IN 46260-5350 |
| Practice Telephone | 3175734370 |
| Practice Fax Number | 3178190044 |
| Mailing Telephone | 3175734370 |
| Mailing Fax Number | 3178190044 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2013-12-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 01059929A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200507230 | 05 | |
| IN | MEDICARE RAILROAD | P00225989 | 01 |
| Street Address |
5255 E STOP 11 RD SUITE 400 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46237-6341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407851033 | Barbara Louise Bowers | Nurse Practitioner | 5255 E Stop 11 Rd, Ste 310, Indianapolis, IN 46237-6340 | 2005-06-20 |
| 1396289757 | Amanda Stocker | Physician Assistant | 5255 E Stop 11 Rd, Suite 450, Indianapolis, IN 46237-6340 | 2016-12-05 |
| 1609326008 | Sylvia Tawfik | Physician Assistant | 5255 E Stop 11 Rd, Suite 450, Indianapolis, IN 46237-6340 | 2016-10-10 |
| 1962858605 | Jaclyn Selders | Physician Assistant | 5255 E Stop 11 Rd, Suite 300, Indianapolis, IN 46237-6340 | 2016-05-12 |
| 1780056754 | Carolyn England | Physician Assistant | 5255 E Stop 11 Rd, 200, Indianapolis, IN 46237-6340 | 2015-10-29 |
| 1174916811 | Daniel Welty | Specialist/Technologist | 5255 E Stop 11 Rd, Indianapolis, IN 46237-6340 | 2015-03-05 |
| 1720484819 | Bethany A Snider | Physician Assistant | 5255 E Stop 11 Rd, Suite 200, Indianapolis, IN 46237-6340 | 2014-11-17 |
| 1336552496 | Sarah A Polacek | Physician Assistant | 5255 E Stop 11 Rd, Suite 400, Indianapolis, IN 46237-6340 | 2014-06-06 |
| 1255773610 | Cara Vivian Van Weelden | Physician Assistant | 5255 E Stop 11 Rd, Suite 300, Indianapolis, IN 46237-6340 | 2013-07-25 |
| 1912257825 | Lindsey Rush | Physician Assistant | 5255 E Stop 11 Rd, Ste. 200, Indianapolis, IN 46237-6340 | 2012-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568961902 | Ashley Marie Mitchell | Nurse Practitioner | 8111 S Emerson Ave # 101, Indianapolis, IN 46237 | 2018-02-11 |
| 1245692177 | Christopher W Gregory | Pharmacist | 8111 S Emerson Avenue, Indianapolis, IN 46237 | 2016-03-21 |
| 1558729111 | Franklin Point Dental | Clinic/Center | 6751 E Southport Rd, Suite H, Indianapolis, IN 46237 | 2016-02-10 |
| 1821460767 | Costco Wholesale Corporation | Pharmacy | 4628 E County Line Rd, Indianapolis, IN 46237 | 2015-10-29 |
| 1164894697 | Mercedes Castellanos-pitcock | Physician Assistant | 7855 S Emerson Ave Ste P, Indianapolis, IN 46237 | 2015-10-23 |
| 1013301142 | Sophia Frawley | Physical Therapist | 7855 South Emerson Avenue, Suite W, Indianepolis, IN 46237 | 2015-03-26 |
| 1154715829 | Emily Marie Prather | Specialist/Technologist | 4607 Citation Cir, Indianapolis, IN 46237 | 2015-03-20 |
| 1659794543 | Rachel Adams | Occupational Therapy Assistant | 6525 Moss Creek Place, Indianapolis, IN 46237 | 2014-01-28 |
| 1790121549 | Carol Lynn Patton | Nurse Practitioner | 8111 S Emerson Ave Fl 5, Indianapolis, IN 46237 | 2013-05-21 |
| 1255685772 | Jarron J Lincoln | Physician Assistant | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2012-11-06 |
| Find all providers in zip 46237 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881221208 | Morgan Sandelski | Otolaryngology | 2015 Central Ave, Indianapolis, IN 46202-1634 | 2020-03-25 |
| 1437687126 | Dhruv Sharma | Otolaryngology | 1130 W Michigan St # Fh400, Indianapolis, IN 46202-5209 | 2017-05-25 |
| 1043658818 | Jessica A. Yesensky | Otolaryngology | 1544 Carrollton Ave, Indianapolis, IN 46202-2717 | 2013-06-13 |
| 1952689085 | Swapna A Eisinger | Otolaryngology | 5255 E Stop 11 Rd Ste 400, Indianapolis, IN 46237-6341 | 2011-07-22 |
| 1831357722 | Kelly Kathryn Hiatt | Otolaryngology | 1400 N Ritter Ave Ste 230, Indianapolis, IN 46219-3046 | 2008-05-28 |
| 1639291271 | Otolaryngology Associates LLC | Otolaryngology | 5508 E 16th St Ste 14, Bldg C, Indianapolis, IN 46218-4936 | 2007-04-04 |
| 1851427900 | Michael Geoffrey Moore | Otolaryngology | 550 University Boulevard, Suite 3170, Indianapolis, IN 46202-5149 | 2007-02-25 |
| 1740347194 | Thomas H Fairchild | Otolaryngology | 5255 East Stop 11 Road, Suite 400, Indianapolis, IN 46237-6341 | 2007-01-03 |
| 1427015833 | Dean J Trigg | Otolaryngology | 8402 Harcourt Rd Ste 400, Indianapolis, IN 46260-2053 | 2006-04-28 |
| 1386138535 | Timothy J Shin | Otolaryngology | 550 University Blvd, Indianapolis, IN 46202-5149 | 2018-06-20 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46237 |
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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.