Guy T. Vise Jr., M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

06369 Issued in MS

Legal business name

GUY T. VISE JR., M.D.

Practice address

890 Lakeland Dr
Jackson, MS 39216-4644

Phone

(601) 366-5998

Fax

(601) 366-4225

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Guy T Vise Jr., M.D.

Title

Owner

Phone

(601) 366-5998

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043433303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 LAKELAND DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164644",
            "telephone_number": "601-366-5998",
            "fax_number": "601-366-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 LAKELAND DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164644",
            "telephone_number": "601-366-5998",
            "fax_number": "601-366-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUY T. VISE JR., M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VISE",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-366-5998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MS",
            "license": "06369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Earl Gusa Jr., MD
• William Gust, PHARMD
• April Tucker Gutierrez, CNNP
• Michelle Marie Gutierrez, COTA
• Kumari V Gutti, MD
• Charmin Guy
• Louis B Guy Jr., DDS MS
• Sarah R. Guy, MD
• Krista K Guynes, LCSW
• Richard Dennis Guynes, MD

• Specialist in Jackson, MS
• Providers in Jackson, MS by specialty
• Specialist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.