PAUL A GUTTUSO (NPI# 1649210659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649210659 |
| Entity Type | Individual |
| Full Name | PAUL A GUTTUSO |
| Credential | MD |
| Practice Address |
604 S 3rd St Ste A Mabank TX 75147-2727 |
| Practice Telephone | 9038871073 |
| Practice Fax Number | 9038870496 |
| Mailing Telephone | 9038871073 |
| Mailing Fax Number | 9038870496 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2015-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | K5546 | TX | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
K5546 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 144327702 | 05 | |
| TX | 144327703 | 05 | |
| TX | 144327704 | 05 |
| Street Address |
604 S 3RD ST STE A |
| City | MABANK |
| State | TX |
| Zip Code | 75147-2727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062818 | Hailey Elizabeth Alford | Physician Assistant | 604 S 3rd St Ste A, Mabank, TX 75147-2727 | 2020-10-27 |
| 1376909291 | Jason B Sapp | Nurse Practitioner | 604 S 3rd St Ste A, Mabank, TX 75147-2727 | 2016-01-07 |
| 1407122963 | Texas Health Physicians Group | Durable Medical Equipment & Medical Supplies | 604 S 3rd St Ste A, Mabank, TX 75147-2727 | 2012-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023626868 | Givens Some Love Day Habilitation Center | Clinic/Center | 301 Sth 7th Street, Mabank, TX 75147 | 2020-07-17 |
| 1194286690 | Helle Na Lauersen | Registered Nurse | 794 Vz Cr 2810, Mabank, TX 75147 | 2019-03-27 |
| 1275720575 | Assisted Living Concepts Inc | Assisted Living Facility | 322 East Main Street, Gun Barrel City, TX 75147 | 2007-10-01 |
| 1780707810 | Mabank Isd | Local Education Agency (LEA) | 124 E. Market, Mabank, TX 75147 | 2007-04-06 |
| 1689799470 | The Neutral Zone | Social Worker | 114 S. Old Gun Berral Lane, Suite 1 The Neutral Zone, Gun Berral City, TX 75147 | 2007-03-20 |
| 1598827834 | Donald C Peele | Chiropractor | 2518 West Main Street, Gun Barrel City, TX 75147 | 2006-12-14 |
| 1053479162 | Lori Jean Rochelle Schreiber Gautreaux | Chiropractor | 302 N Third Street, Mabank, TX 75147 | 2006-12-04 |
| 1932289642 | Mabank Medical Center,inc. | Internal Medicine | 802 W Mason, Mabank, TX 75147 | 2006-10-17 |
| 1710903851 | Gaddis Chiropractic PC | Chiropractor | 1204 S Third St, Ste 102, Mabank, TX 75147 | 2006-07-14 |
| 1255365946 | Eunice Nadine Hall | Nursing Facility/Intermediate Care Facility | 110 W Troupe, Mabank, TX 75147 | 2006-07-10 |
| Find all providers in zip 75147 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922755 | David Conrad Ortmeier | Family Medicine | 4900 Wichita Trl, Flower Mound, TX 75022-5628 | 2020-11-02 |
| 1639704042 | Tahnee Rae Beal | Family Medicine | 1301 S Bonnie Brae St., Athc Building # 0320., Denton, TX 76207 | 2020-03-05 |
| 1760027643 | Mark Garza, M.d., Pllc | Family Medicine | 131 S Westmeadow Dr, Cleburne, TX 76033-4586 | 2019-11-14 |
| 1528603495 | Mark Garza, M.d., Pllc | Family Medicine | 209 Saint Louis Ave Ste 100, Fort Worth, TX 76104-1231 | 2019-11-14 |
| 1265092043 | Texas Federal Wellness Center of Mcallen Pllc | Family Medicine | 4501 W Expressway 83 Ste 50, Mcallen, TX 78503-0029 | 2019-06-14 |
| 1235792524 | Celina Family Practice Pllc | Family Medicine | 701 N Preston Rd Ste 200, Celina, TX 75009-3777 | 2019-04-22 |
| 1164902409 | Dna Medical | Family Medicine | 3736 Bee Caves Rd Ste 9, West Lake Hills, TX 78746-5378 | 2018-08-16 |
| 1861992695 | Taylor Henry | Family Medicine | 739 Tanglewood Drive, Burleson, TX 76028 | 2018-02-19 |
| 1063910842 | Running Wild Sea, LLC | Family Medicine | 8557 Research Blvd Ste 128, Austin, TX 78758-7855 | 2018-01-26 |
| 1134633050 | The University of Texas Rio Grande Valley | Family Medicine | 1201 West University Dr., Utrgv Dept of Intercollegiate Athletics, Edinburg, TX 78539 | 2017-11-30 |
| Find all providers with the same taxonomy | ||||
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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.