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NPI Code Detail

MEDICARE: DR. JASON J GUTT M.D.

MEDICARE: DR. JASON J GUTT M.D.
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
1207Y00000XOtolaryngology Physician01059929AIN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00225989OTHERINMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023175478
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JASON J GUTT M.D.
Provider Business Mailing Address
First Line : 10201 N ILLINOIS ST STE 110
Second Line :
City : CARMEL
State : IN
Zip : 46290-1172
Country : US
Telephone Number : 317-844-7059
Fax Number : 317-819-0044
Provider Business Practice Location Address
First Line : 5255 E STOP 11 RD
Second Line : SUITE 400
City : INDIANAPOLIS
State : IN
Zip : 46237-6341
Country : US
Telephone Number : 317-573-4370
Fax Number : 317-819-0044
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2007
Last Update Date : 03/04/2026

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