Organization Active NPI

Lisa L Guyot MD PHD PC

  • Specialist
  • Grand Blanc, MI
National Provider Identifier
1023224797
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
LG063620 Issued in MI
Legal business name
LISA L GUYOT MD PHD PC
Practice address
3642 Genesys Pkwy
Grand Blanc, MI 48439-8070
Phone
(810) 606-7340
Fax
(810) 606-7770
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lisa Lee Guyot, MD PHD
Title
Neurosurgeon
Phone
(810) 606-7340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X LG063620 MI Primary

Addresses

Primary practice location

3642 Genesys Pkwy
Grand Blanc, MI 48439-8070

Mailing address

841 Health Park Boulevard
Grand Blanc, MI 48439-8070
Phone (810) 606-7340

Other identifiers 3

IdentifierTypeStateIssuer
1402510642OtherMIBLUE CROSS BLUE SHIELD
0992728OtherMIHEALTH PLUS
4568737MedicaidMI

National Provider Directory

National Provider Directory

Locations

3595 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-7340

841 Health Park Blvd
Grand Blanc, MI 48439
Phone (810) 606-6894

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269388800000",
    "number": "1023224797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 HEALTH PARK BOULEVARD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398070",
            "telephone_number": "810-606-7340",
            "fax_number": "810-606-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3642 GENESYS PKWY",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398070",
            "telephone_number": "810-606-7340",
            "fax_number": "810-606-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA L GUYOT MD PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2010-03-24",
        "status": "A",
        "authorized_official_last_name": "GUYOT",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "NEUROSURGEON",
        "authorized_official_telephone_number": "810-606-7340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PHD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "LG063620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1402510642",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "0992728",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4568737",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.