MR. SERVANDO GUTIERREZ (NPI# 1033153275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033153275 |
| Entity Type | Individual |
| Full Name | MR. SERVANDO GUTIERREZ |
| Credential | PA-C |
| Practice Address |
2500 E Prospect Rd Fort Collins CO 80525-9718 |
| Practice Telephone | 9704930112 |
| Practice Fax Number | 9704931794 |
| Mailing Telephone | 9704930112 |
| Mailing Fax Number | 9704931794 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2020-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA.0005934 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
XXXXXXXXXXXXXX | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11621 Kew Gardens Ave, Suite 101, Palm Beach Gardens, FL 33410 | 5616303870 | 5616303680 |
| Street Address |
2500 E PROSPECT RD |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80525-9718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972595247 | Robert J Benz | Orthopaedic Surgery | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2005-08-22 |
| 1396355251 | Joseph D Burkeland | Physical Therapist | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2020-08-05 |
| 1356972913 | Kevin Baro | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2020-01-31 |
| 1376016667 | Joshua J Salsbury | Physical Therapist | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2019-01-09 |
| 1861965402 | Kaitlin R Regan | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2019-01-07 |
| 1194296194 | Nikole Arianna Stewart | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2018-12-17 |
| 1356811160 | Kristin J. Leinhart | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2018-12-05 |
| 1225517485 | Emily Kate Lybarger | Physical Therapist | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2018-08-08 |
| 1346767282 | Lindsey Davis | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2017-08-22 |
| 1184174807 | David Messinger | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2016-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356950299 | Kelly Westbrook Schmalstich | Clinical Nurse Specialist | 2020 Blue Yonder Way, Fort Collins, CO 80525 | 2020-07-27 |
| 1912522376 | Tender Gifts Midwifery and Birth Center | Clinical Nurse Specialist | 1817 Jessup Dr Farms, Fort Collins, CO 80525 | 2020-06-11 |
| 1114566015 | Andrea Nicole Brogdon | Acupuncturist | 2501 S. College Ave, Fort Collins, CO 80525 | 2019-12-26 |
| 1013553593 | Kids Overcoming, LLC | Home Health | 1330 Oakridge Drive Suite 105, Fort Collins, CO 80525 | 2019-11-20 |
| 1568019966 | Julia Heithoff | Behavioral Analyst | 1100 Haxton Dr #115, Fort Collins, CO 80525 | 2019-08-20 |
| 1144875246 | Harmony Smiles Dentistry, LLP | Dentist | 356 E Harmony Rd., #6-a, Fort Collins, CO 80525 | 2019-08-06 |
| 1841774502 | Shannon L Harris | Social Worker | 305 Carpenter Road, Fort Collins, CO 80525 | 2018-09-19 |
| 1306332101 | Joshua Evans Brooks | Optometrist | 375 E Horsetooth Rd Bldg 5 Ste 201, Fort Collins, CO 80525 | 2018-07-03 |
| 1285120212 | Danae Fuqua | Physical Medicine & Rehabilitation | Covell Care & Rehabilitation, 2350 Limon Dr., Fort Collins, CO 80525 | 2018-07-02 |
| 1528552890 | Megan E Locke | Audiologist | 724 Whalers Way Bdg I, Suite 101, Fort Collins, CO 80525 | 2018-06-19 |
| Find all providers in zip 80525 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801883525 | Andrea J Bieganski | Physician Assistant | 1120 E Elizabeth St # F-101, Fort Collins, CO 80524-4044 | 2005-09-29 |
| 1285041723 | Todd Bryce | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2014-07-16 |
| 1467869115 | Amy Lynn Lagreca | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2014-07-15 |
| 1497000590 | Danielle Marie Talbert | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2012-07-16 |
| 1902162688 | Kathryn Grace Lundy | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2012-04-06 |
| 1932402666 | Travis A Babcock | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2010-12-20 |
| 1104065218 | Katherine Berdell | Physician Assistant | 2121 E Harmony Rd Unit 170, Fort Collins, CO 80528 | 2009-02-12 |
| 1265636872 | Matthew R. Crawford | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2007-06-14 |
| 1417054099 | Nancy A. Mcrae | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2006-09-17 |
| 1740243138 | Amy Kennedy Romero | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2006-04-08 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80525 |
Please comment or provide details below to improve the information on MR. SERVANDO GUTIERREZ.
| 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.