Active NPI
Lisa L Guyot MD PHD PC
- Specialist
- Grand Blanc, MI
National Provider Identifier
1023224797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- LG063620
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1402510642 | Other | MI | BLUE CROSS BLUE SHIELD |
| 0992728 | Other | MI | HEALTH PLUS |
| 4568737 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
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.