NPIMap

Organization Active NPI

Guillard Internal Medicine Inc.

  • Internal Medicine Physician
  • State College, PA
National Provider Identifier
1033102785
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GUILLARD INTERNAL MEDICINE INC.
Practice address
905 University Dr
Suite 1
State College, PA 16801-6626
Phone
(814) 237-3122
Fax
(814) 237-4050
NPI assigned
Aug 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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

Authorized official

Name
Dr. Frank Guillard, M.D.NPI 1558354134
Title
President
Phone
(814) 237-3122

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

905 University Dr
Suite 1
State College, PA 16801-6626

Mailing address

905 University Dr
Suite 1
State College, PA 16801-6626
Phone (814) 237-3122

Other identifiers 5

IdentifierTypeStateIssuer
00068022900003MedicaidPA
CF3479OtherPARAILROAD MEDICARE
39D0688402OtherPACLIA
10085OtherPAGEISINGER HEALTH PLAN
02276900OtherPACAIC/CAPITAL BLUE CROSS

Other names 1

  • Hall Guillard Guillard & Associates, Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

905 University Dr
#1
State College, PA 16801
Phone (814) 237-3122

905 University Dr
State College, PA 16801
Phone (814) 237-3122

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1033102785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 UNIVERSITY DR",
            "address_2": "SUITE 1",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168016626",
            "telephone_number": "814-237-3122",
            "fax_number": "814-237-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 UNIVERSITY DR",
            "address_2": "SUITE 1",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168016626",
            "telephone_number": "814-237-3122",
            "fax_number": "814-237-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUILLARD INTERNAL MEDICINE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-29",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "GUILLARD",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-237-3122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00068022900003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CF3479",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "39D0688402",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "10085",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAIC/CAPITAL BLUE CROSS",
            "identifier": "02276900",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hall Guillard Guillard & Associates, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in State College, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.