Physician Compare National (NPI:1366448607)

HEALTHCARE PROVIDER: DAN GUTTMANN M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1366448607
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9234118886
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110406000917
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GUTTMAN
	Individual professional last name
Provider First Name	DAN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	TEMPLE UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1990
	Individual professional's medical school graduation year
Primary Specialty	ORTHOPEDIC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	TAOS ORTHOPAEDIC INSTITUTE, PC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	5991784548
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	9
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1219 GUSDORF RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE A
	Group Practice or individual's line 2 address
City	TAOS
	Group Practice or individual's city
State	NM
	Group Practice or individual's state
Zip Code	875716499
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5757580009
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	321310
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HOLY CROSS HOSPITAL A DIV OF TAOS HEALTH SYSTEMS
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	320033
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	LOS ALAMOS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	320002
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	CHRISTUS ST VINCENT REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	320011
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	PRESBYTERIAN ESPANOLA HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y