Provider Demographics
NPI:1497790414
Name:GUTHEIL, JAMES P (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:P
Last Name:GUTHEIL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5959 S SHERWOOD FOREST BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6038
Mailing Address - Country:US
Mailing Address - Phone:225-765-5500
Mailing Address - Fax:225-765-9196
Practice Address - Street 1:4704 AMBASSADOR CAFFERY PKWY
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-6908
Practice Address - Country:US
Practice Address - Phone:225-765-5500
Practice Address - Fax:225-765-5543
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2024-12-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ORMD219632207X00000X
TXL6924207X00000X
KS04-41342207X00000X
LA343126207XP3100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM69435278Medicaid
TX160449807Medicaid
TX150507103OtherFIRSTCARE
TX8BS953OtherBCBS
TXH90751Medicare UPIN
TX150507103OtherFIRSTCARE