Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | J5474 | TX |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | J5474 | TX |
NPI | 1699766386 |
---|---|
Provider Name | Dr. Robert C. Schutt |
First Address | Gunnison, CO 81230-2545 |
Second Address | Gunnison, CO 81230-2545 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2005 |
Last Update Date | 05/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
101607100 | FIRSTCARE COMMERCIAL (01) | TX |
101607101 | (05) | TX |
160156901 | (05) | TX |
160156902 | (05) | TX |
200014180A | (05) | OK |
82905 | (05) | NM |
82905 | PRESBYTERIAN COMMERCIAL (01) | NM |
87385Z | HMO BLUE (01) | TX |
89384229 | (05) | NM |
8J8820 | BC/BS (01) | TX |
D23965 | (02) | TX |
DR21633 | MEDICAL (01) | CO |
F002 | TRIWEST (01) | NM |
MD.205705 | MEDICAL (01) | LA |