Individual provider Active NPI

Tamara Guichard, MD

  • Specialist
  • Forest Hills, NY
National Provider Identifier
1053372698
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
232756 Issued in NY
Practice address
6915 Yellowstone Blvd
Suite 4
Forest Hills, NY 11375-9406
Phone
(212) 991-9991
NPI assigned
Mar 31, 2006
Last updated
Apr 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 232756 NY Primary

Addresses

Primary practice location

6915 Yellowstone Blvd
Suite 4
Forest Hills, NY 11375-9406

Mailing address

6915 Yellowstone Blvd
Suite 4
Forest Hills, NY 11375-9406
Phone (212) 991-9991

Other identifiers 1

IdentifierTypeStateIssuer
02571846MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041105000078 NY Practitioner - Obstetrics/Gynecology 1557324100 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Albany Medical College of Union University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Physicians P CGroup PAC ID 0042403404, 10 clinicians

Practice addresses (Care Compare)

800 2ND Ave
New York, NY 10017-4709
Phone (718) 360-9550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
232756NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Skilled Facility Health Care Solutions Inc CurrentSince Jul 16, 2018 Accepting new patients
Advanced Physicians P C CurrentSince Sep 16, 2018 Accepting new patients
North Shore Hematology Oncology Associates PC Specialist CurrentSince May 1, 2019 Accepting new patients
TBHC Physician Services PC Past Accepting new patients
Catskill Regional Medical Center Past Accepting new patients
New York Medicine Doctors, PLLC. Past Accepting new patients

Locations

3746 Foothill Blvd
La Crescenta, CA 91214
Phone (323) 574-0387

6915 Yellowstone Blvd
Ste 1
Forest Hills, NY 11375
Phone (718) 268-4500

6915 Yellowstone Blvd
Ste 4
Forest Hills, NY 11375
Phone (718) 360-9550

6915 Yellowstone Blvd
Ste BB1
Forest Hills, NY 11375

800 2nd Ave
New York, NY 10017
Phone (646) 918-7363

800 2nd Ave
Fl 9
New York, NY 10017
Phone (212) 539-0257

1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1053372698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6915 YELLOWSTONE BLVD",
            "address_2": "SUITE 4",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113759406",
            "telephone_number": "212-991-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6915 YELLOWSTONE BLVD",
            "address_2": "SUITE 4",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113759406",
            "telephone_number": "212-991-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUICHARD",
        "first_name": "TAMARA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "232756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02571846",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.