DR. MARIO A. GUTIERREZ (NPI# 1306897038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306897038 |
| Entity Type | Individual |
| Full Name | DR. MARIO A. GUTIERREZ |
| Credential | MD |
| Practice Address |
719 W Coke Rd # Mob4 Ste 6 Winnsboro TX 75494-3011 |
| Mailing Address |
Po Box 844665 Dallas TX 75284-4665 |
| Practice Telephone | 9033423760 |
| Mailing Telephone | 9035315000 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2017-07-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | P0395 | TX | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | 91-213 | NM | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | P0395 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 287000801 | 05 | |
| TX | 287000806 | 05 | |
| TX | TRICARE | 75-2616977-130 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427572577 | Mario Alberto Gutierrez | Nurse Practitioner | 1350 Jacke St. Se, Suite 104, Rio Rancho, NM 87124 | 2017-07-31 |
| 1265961965 | Mario Vilchis Gutierrez | Acupuncturist | 1366 Alvernaz Dr, San Jose, CA 95121-2508 | 2017-06-06 |
| 1801283635 | Mario Gutierrez | Student in an Organized Health Care Education/Training Program | 1109 W Main St Apt 505, Peoria, IL 61606-1385 | 2015-04-20 |
| 1831295955 | Mario Gutierrez | Optometrist | 5212 Broadway St, San Antonio, TX 78209-5712 | 2006-09-16 |
| 1083624795 | Mario Skiles Gutierrez | Chiropractor | 2286 Sunrise Blvd, Gold River, CA 95670-4342 | 2006-08-08 |
| 1366951592 | Mario Gutierrez | Social Worker | 2060 W Whispering Wind Dr Ste 264, Phoenix, AZ 85085-2869 | 2017-09-19 |
| 1205254968 | Mario Gutierrez | Student in an Organized Health Care Education/Training Program | 155 N Fresno St, Family and Community Medicine, Fresno, CA 93701-2302 | 2014-03-31 |
| 1538142823 | Mario Clark Gutierrez | Anesthesiology | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2005-11-21 |
| Street Address |
719 W COKE RD # MOB4 STE 6 |
| City | WINNSBORO |
| State | TX |
| Zip Code | 75494-3011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003392317 | Cordelia Carrington Lovett | Physical Therapist | Rehab Solutions, 406 S Main Street, Winnsboro, TX 75494 | 2018-07-19 |
| 1679972483 | Whispering Pines Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 910 S Beech Street, Winnsboro, TX 75494 | 2014-08-18 |
| 1023438330 | Trinity Nursing and Rehabilitation of Winnsboro, Lp | Skilled Nursing Facility | 502 East Coke Road, Winnsboro, TX 75494 | 2014-04-25 |
| 1467776831 | Autumn Wind | Assisted Living Facility | 1004 E. Coke Rd, Winnsboro, TX 75494 | 2010-03-15 |
| 1427117357 | Henry Frank Cannaday | Dentist | 505 South Mill Street, Winnsboro, TX 75494 | 2006-12-06 |
| 1952486102 | Jerry D Houchin | Internal Medicine | 877 Sw County Rd 3250, Winnsboro, TX 75494 | 2006-10-26 |
| 1871678425 | Lila G Sparkman | Counselor | 101 North Main St Suite 209, Winnsboro, TX 75494 | 2006-10-25 |
| 1801811534 | Theodore Knox Gregory II | Nurse Anesthetist, Certified Registered | 719 W Coke Road, Presbyterian Hospital Winnsboro, Winnsboro, TX 75494 | 2006-07-13 |
| 1124013644 | Kathy G. Smedley | Counselor | 403 N Post Oak, Winnsboro, TX 75494 | 2005-09-12 |
| 1861493694 | Justin Clive Perish | Chiropractor | 821 South Main Street, Suite 100, Winnsboro, TX 75494 | 2005-08-02 |
| Find all providers in zip 75494 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639308380 | Mark Edward Shaffer | Family Medicine | 56 Us Highway 321 Byp N, Winnsboro, SC 29180-7100 | 2009-07-02 |
| 1609031400 | Charlie Jean Wofford | Family Medicine | 1136 Kincaid Bridge Rd, Suite A, Winnsboro, SC 29180-7116 | 2008-07-22 |
| 1184737892 | Fairfield Medical Associates, Pa | Family Medicine | 880 West Moultrie St., Suite 200, Winnsboro, SC 29180-1280 | 2006-08-16 |
| 1053365130 | Joel Glen Eldridge | Family Medicine | 233 Taylor Ave, Winnsboro, LA 71295-2431 | 2006-05-21 |
| 1568438323 | Jimmy R Coughran | Family Medicine | 101 Fair Avenue, Winnsboro, LA 71295-2116 | 2006-02-23 |
| 1982670733 | Thomas L Colvin | Family Medicine | 2106 Loop Rd Ste A, Winnsboro, LA 71295-3343 | 2006-02-23 |
| 1013919604 | Charles E Reed | Family Medicine | 3326 Front St, Suite B, Winnsboro, LA 71295-6487 | 2005-08-12 |
| 1215580113 | Memory Clinic of Louisiana | Family Medicine | 3326 Front St Ste B, Winnsboro, LA 71295-6418 | 2019-07-19 |
| 1619479888 | Alexandra Cooper Berry | Family Medicine | 2106 Loop Rd, Winnsboro, LA 71295-3344 | 2018-03-05 |
| 1760980676 | Directional Wellness Medical Partners Pllc | Family Medicine | 213 N Main St, Winnsboro, TX 75494-2521 | 2018-01-25 |
| Find all providers in WINNSBORO | ||||
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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.