Active NPI
Jason Ross Guercio, M.D.
- Anesthesiology Physician
- Durham, NC
National Provider Identifier
1063738979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 2013-00773
- Practice address
- 2100 Erwin Rd
Durham, NC 27705-3941 - Phone
- (919) 684-8111
- NPI assigned
- Apr 16, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 2013-00773 | NC | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
2100 Erwin Rd
Durham, NC 27705-3941
Mailing address
68 South Service Road
Suite 350
Melville, NY 11545
Phone (516) 945-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013-00773 | NC | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429747200000",
"number": "1063738979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 SOUTH SERVICE ROAD",
"address_2": "SUITE 350",
"city": "MELVILLE",
"state": "NY",
"postal_code": "11545",
"telephone_number": "516-945-3000",
"fax_number": "516-945-3131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 ERWIN RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277053941",
"telephone_number": "919-684-8111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERCIO",
"first_name": "JASON",
"middle_name": "ROSS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-16",
"last_updated": "2015-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NC",
"license": "2013-00773",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.