MEDICARE: HEATHER B GUTWEIN 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	207Q00000X	Family Medicine Physician	01040358	IN
2	207Q00000X	Family Medicine Physician	01040358A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	IN2586002	OTHER	IN	MEDICARE PTAN

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

General Provider Information

NPI Number	:	1376626374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER B GUTWEIN MD

Provider Business Mailing Address
First Line	:	6085 HEARTLAND DR STE 205
Second Line	:
City	:	ZIONSVILLE
State	:	IN
Zip	:	46077-4433
Country	:	US
Telephone Number	:	317-768-2200
Fax Number	:	765-768-2209

Provider Business Practice Location Address
First Line	:	6085 HEARTLAND DR STE 205
Second Line	:
City	:	ZIONSVILLE
State	:	IN
Zip	:	46077-4433
Country	:	US
Telephone Number	:	317-768-2200
Fax Number	:	765-768-2209

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

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	12/21/2025

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Directions to “ HEATHER B GUTWEIN MD” Practice Location

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