Individual provider Active NPI

Dexter Paul Guidry II, CRNA

  • Certified Registered Nurse Anesthetist
  • Lafayette, LA
National Provider Identifier
1033249719
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP05118 Issued in LA
Practice address
4212 W Congress St
Suite 3200
Lafayette, LA 70506-6765
Phone
(337) 981-3546
Fax
(337) 988-4298
NPI assigned
Mar 6, 2007
Last updated
Jul 13, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP05118 LA Primary

Addresses

Primary practice location

4212 W Congress St
Suite 3200
Lafayette, LA 70506-6765

Mailing address

PO Box 60475
Lafayette, LA 70596-0475
Phone (337) 706-1500

Other identifiers 1

IdentifierTypeStateIssuer
1001295MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MO, AR3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20070411000178 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1153426630 Reassigns benefits to 5 organizations
I20231004002504 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 1153426630 Reassigns benefits to 1 organization
I20240924000617 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 1153426630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lafayette Health Ventures IncGroup PAC ID 9335043074, 299 clinicians
Anesthesiology and Pain Consultants LLCGroup PAC ID 3870490402, 48 clinicians

Practice addresses (Care Compare)

1214 Coolidge Blvd
Lafayette, LA 70503-2621
Phone (337) 289-7991

4811 Ambassador Caffery Pkwy
Suite 100
Lafayette, LA 70508-7266
Phone (337) 988-5646

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Health Ventures Inc CurrentSince Apr 1, 2021 Accepting new patients
Anesthesiology Affiliates, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 11, 2010 Accepting new patients
Lafayette Health Ventures Inc Current Accepting new patients
Southeast Missouri Hospital Physicians, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 18, 2023 Accepting new patients
Lafayette Health Ventures, Inc CurrentSince Apr 1, 2021 Accepting new patients
Anesthesiology & Pain Consultants, LLC CurrentSince Jan 25, 2007 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 12, 2024 Accepting new patients
Iberia Gastroenterology Associates, Inc. a Professional Medical Corpor CurrentSince Nov 13, 2013 Accepting new patients
Lafayette Health Ventures, Inc Past Accepting new patients

Locations

700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200

9103 Jefferson Hwy
Baton Rouge, LA 70809
Phone (225) 927-1190

210 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 332-2178

1305 E Highway 90
Crowley, LA 70526
Phone (337) 783-3222

1000 W Pinhook Rd
Lafayette, LA 70503
Phone (337) 264-1011

1101 Kaliste Saloom Rd
Lafayette, LA 70508
Phone (337) 231-5775

1101 S College Rd
Ste 100
Lafayette, LA 70503
Phone (337) 233-8603

1103 Kaliste Saloom Rd
Ste 304
Lafayette, LA 70508
Phone (318) 981-3546

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

2810 Ambassador Caffery Pkwy
Lafayette, LA 70506
Phone (337) 593-5423

4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201

4212 W Congress St
Ste 3200
Lafayette, LA 70506
Phone (337) 273-2863

4600 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 371-3135

4630 Ambassador Caffery Pkwy
Ste 101
Lafayette, LA 70508
Phone (337) 289-3324

4811 Ambassador Caffery Pkwy
Ste 100
Lafayette, LA 70508
Phone (337) 237-8119

1100 Andre St
Ste 300
New Iberia, LA 70563
Phone (337) 364-9225

2309 E Main St
Ste 101
New Iberia, LA 70560
Phone (337) 364-3301

1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/HFDFBA

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1033249719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60475",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705960475",
            "telephone_number": "337-706-1500",
            "fax_number": "337-988-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 W CONGRESS ST",
            "address_2": "SUITE 3200",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066765",
            "telephone_number": "337-981-3546",
            "fax_number": "337-988-4298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIDRY",
        "first_name": "DEXTER",
        "middle_name": "PAUL",
        "name_suffix": "II",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "AP05118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001295",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.