ROBERT DAVID GUTTORMSON (NPI# 1427222033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427222033 |
| Entity Type | Individual |
| Full Name | ROBERT DAVID GUTTORMSON |
| Credential | MD |
| Practice Address |
1300 S Columbia Road - Altru 1300 Columbia Grand Forks ND 58201-4012 |
| Mailing Address |
2401 Demers Ave Grand Forks ND 58201 |
| Practice Telephone | 7017802300 |
| Mailing Telephone | 7017801891 |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2018-12-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 63158 | MN | Allopathic & Osteopathic Physicians |
| Y | 208600000X | Surgery | 11633 | ND | Allopathic & Osteopathic Physicians |
| Street Address |
1300 S COLUMBIA ROAD - ALTRU 1300 COLUMBIA |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58201-4012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255965398 | Development Homes Inc | Intermediate Care Facility, Mentally Retarded | 5509 Cottonwood Street, Grand Forks, ND 58201 | 2020-02-27 |
| 1932753779 | Lydia Pansegrau | Occupational Therapist | 2950 36th Ave S, Apt A-11, Grand Forks, ND 58201 | 2019-07-30 |
| 1407416019 | Kristina Aikens | Optometrist | 1820 S 42nd St, Grand Forks, ND 58201 | 2019-06-17 |
| 1861963209 | Jessica Kovsky | Occupational Therapist | 1375 S Columbia Rd- Altru Performance Center, Grand Forks, ND 58201 | 2018-12-11 |
| 1609345834 | Altru Specialty Services, Inc | Durable Medical Equipment & Medical Supplies | 1375 South Columbia Road, Suite A, Grand Forks, ND 58201 | 2018-11-16 |
| 1225523004 | Alicia Mae Mack | Registered Nurse | 212 S. 4th St. Suite 301, Spectra Health, Grand Forks, ND 58201 | 2018-06-25 |
| 1396260808 | Amber White | Behavior Technician | 2016 S Washington St., Grand Forks, ND 58201 | 2017-08-04 |
| 1225579840 | Kathleen Suzanne Tillman | Psychologist | 2100 S Columbia Road, Suite 202, Family Institute, PC, Grand Forks, ND 58201 | 2017-03-15 |
| 1881148906 | Melissa Pytlik Monson | Physician Assistant | 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 | 2016-08-05 |
| 1477936029 | Laura Jane Carlson | Nurse Practitioner | 3165 Demers Avenue - Truyu Aesthetic Center, Grand Forks, ND 58201 | 2015-07-01 |
| Find all providers in zip 58201 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588288666 | Ryan Douglas Beard | Surgery | 1301 N Columbia Rd, Stop 9037, Und - Department of Surgery, Grand Forks, ND 58202-9037 | 2020-06-03 |
| 1992282453 | Carter James Rohling | Surgery | University of North Dakota Smhs Department of Surgery, 1301 N Columbia Road, Stop 9037, Grand Forks, ND 58202-9037 | 2018-07-26 |
| 1457838914 | Eric Matthew Curto | Surgery | University of North Dakota Smhs, Department of Surgery, 1301 N Columbia Rd Stop 9037, Rm E280, Grand Forks, ND 58202-9037 | 2018-07-26 |
| 1255851077 | Andrew Dockter | Surgery | 1301 N. Columbia Rd. Stop 9037, Grand Forks, ND 58202-9037 | 2017-06-22 |
| 1922528868 | Joclyn Anne Seiler | Surgery | 1301 N Colombia Rd Stop 9037, Und Department of Surgery, Grand Forks, ND 58202-9037 | 2017-06-21 |
| 1538541958 | Matthew Cziep | Surgery | 1301 N Columbia Rd Rm E270, Grand Forks, ND 58202 | 2015-06-22 |
| 1437563459 | Karen Luk | Surgery | 501 N Columbia Rd Stop 5108, Und Department of Surgery, Grand Forks, ND 58202-9037 | 2014-06-18 |
| 1235542473 | Patrick Lamb | Surgery | 501 N. Columbia Rd Stop 9037, Room 5107, Grand Forks, ND 58202-9037 | 2014-06-05 |
| 1184902330 | Breann Elizabeth Neiger | Surgery | 501 N Columbia Road, Stop 9037, Univ of North Dakota Dept of Surgery, Smhs Rm 5107, Grand Forks, ND 58202-9037 | 2011-07-21 |
| 1871806117 | Christopher James Maki | Surgery | 501 N Columbia Road Stop 9037, Univ of North Dakota Dept of Surgery, Smhs Rm 5107, Grand Forks, ND 58203-9037 | 2010-07-15 |
| Find all providers in GRAND FORKS | ||||
| City | GRAND FORKS |
| Zip Code | 58201 |
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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.