MEDICARE: DR. ROBERT M GUTHRIE 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
1	207P00000X	Emergency Medicine Physician	35048192	OH
2	207Q00000X	Family Medicine Physician	35048192	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	311229292	OTHER	OH	FEDERAL TAX ID#
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902995202
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT M GUTHRIE M.D.

Provider Business Mailing Address
First Line	:	700 ACKERMAN RD
Second Line	:	SUITE 540
City	:	COLUMBUS
State	:	OH
Zip	:	43202-1559
Country	:	US
Telephone Number	:	614-255-7750
Fax Number	:	614-262-4042

Provider Business Practice Location Address
First Line	:	1380 EDGEHILL RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43212-3122
Country	:	US
Telephone Number	:	614-298-8052
Fax Number	:	614-298-8053

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

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	11/02/2011

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