MEDICARE: JOSEPH CASEY GUTHRIE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084F0202X	Forensic Psychiatry Physician	0101253718	VA
2	2084P0800X	Psychiatry Physician	0101253718	VA
3	2084F0202X	Forensic Psychiatry Physician	201701290	NC
4	2084F0202X	Forensic Psychiatry Physician	25MA10027600	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	25MA10027600	OTHER	NJ	NJ DIVISION OF CONSUMER AFFAIRS

General Provider Information

NPI Number	:	1053588376
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH CASEY GUTHRIE MD

Provider Business Mailing Address
First Line	:	142 RABBIT HILL LN
Second Line	:
City	:	SUGAR GROVE
State	:	VA
Zip	:	24375-3332
Country	:	US
Telephone Number	:	985-514-5338
Fax Number	:	844-901-1492

Provider Business Practice Location Address
First Line	:	142 RABBIT HILL LN
Second Line	:
City	:	SUGAR GROVE
State	:	VA
Zip	:	24375-3332
Country	:	US
Telephone Number	:	985-514-5338
Fax Number	:	844-901-1492

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2008
Last Update Date	:	07/18/2025

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