Provider Demographics
NPI:1053588376
Name:GUTHRIE, JOSEPH CASEY (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:CASEY
Last Name:GUTHRIE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 RABBIT HILL LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR GROVE
Mailing Address - State:VA
Mailing Address - Zip Code:24375-3332
Mailing Address - Country:US
Mailing Address - Phone:985-514-5338
Mailing Address - Fax:844-901-1492
Practice Address - Street 1:142 RABBIT HILL LN
Practice Address - Street 2:
Practice Address - City:SUGAR GROVE
Practice Address - State:VA
Practice Address - Zip Code:24375-3332
Practice Address - Country:US
Practice Address - Phone:985-514-5338
Practice Address - Fax:844-901-1492
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-15
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012537182084F0202X, 2084P0800X
NJ25MA100276002084F0202X
NC2017012902084F0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA05763Medicaid
NJ25MA10027600OtherNJ DIVISION OF CONSUMER AFFAIRS