Russell A Guidry, CRNA

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

62102 Issued in LA

Practice address

424 W McNeese St
Lake Charles, LA 70605-5547

Phone

(337) 478-0511

Fax

(337) 478-5644

NPI assigned

Dec 28, 2005

Last updated

Oct 12, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lake Charles Anesthesiology, ApmcGroup PAC ID 6800867714, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Ochsner St Patrick Hospital Hospital, Lake Charles, LA, CCN 190027

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Lake Charles Anesthesiology, Apmc

  • Anesthesiology Physician
  • Lake Charles, LA
  • NPI 1588674790
  Medicare reassignment Care Compare group NPD
• Texas Children's Physician Group

  • Pediatrics Physician
  • Houston, TX
  • NPI 1861675506
  NPD (past)

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

• Christus Health Southwestern Louisiana

  dba Combre-Fondel Elementary SBHC

  • Student Health Clinic/Center
  • Lake Charles, LA
  • NPI 1093927105

  Hospital

  Care Compare affiliation
• Christus Health Southwestern Louisiana

  dba Molo Middle SBHC

  • Student Health Clinic/Center
  • Lake Charles, LA
  • NPI 1205040995

  Hospital

  Care Compare affiliation
• Christus Health Southwestern Louisiana

  dba South Cameron High SBHC

  • Student Health Clinic/Center
  • Grand Chenier, LA
  • NPI 1407068299

  Hospital

  Care Compare affiliation
• Christus Health Southwestern Louisiana

  dba Christus Ochsner St Patrick Hospital

  • General Acute Care Hospital
  • Lake Charles, LA
  • NPI 1629076468
  Care Compare affiliation
• Christus Health Southwestern Louisiana

  dba Clifton Elementary SBHC

  • Student Health Clinic/Center
  • Lake Charles, LA
  • NPI 1710191473

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476230400000",
    "number": "1043297229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 W MCNEESE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055547",
            "telephone_number": "337-478-0511",
            "fax_number": "337-478-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 W MCNEESE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055547",
            "telephone_number": "337-478-0511",
            "fax_number": "337-478-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIDRY",
        "first_name": "RUSSELL",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2016-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "62102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "430028649",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1989819",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gerard Guidry, M.D.
• Joy K Guidry, R.PH.
• Kasey Guidry
• Kevin A Guidry, M.D.
• Pamela Knight Guidry, MS, ATC, LAT
• Spring Guidry
• Staci Guidry, RPH
• Tricia N Guidry, M.D.
• Guidry's Health Transportation Inc.
• Andres J Guillermo, M.D.

• Anesthesiology Physician in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Anesthesiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.