Individual provider Active NPI

Troy H Guthrie Jr., MD

  • Medical Oncology Physician
  • Jacksonville, FL
National Provider Identifier
1073500328
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
ME66255 Issued in FL
Practice address
425 N Lee St Ste 204
Jacksonville, FL 32204
Phone
(904) 427-1200
NPI assigned
Oct 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X ME66255 FL
Medical Oncology Physician 207RX0202X ME66255 FL Primary

Addresses

Primary practice location

425 N Lee St Ste 204
Jacksonville, FL 32204

Mailing address

2160 Colonial Blvd
Fort Myers, FL 33907-1410
Phone (239) 931-7342

Other practice location 1

7751 Baymeadows Rd E
Jacksonville, FL 32256-5836
Phone (904) 493-5190

Other identifiers 10

IdentifierTypeStateIssuer
4402739OtherFLAETNA
000643574DMedicaidGA
P01405056OtherFLRR MEDICARE
1100398OtherFLCAREPLUS
12687OtherFLBCBS
1193085OtherFLWELLCARE
1614130OtherFLCIGNA
208075OtherFLAVMED
0533629-00MedicaidFL
P01756757OtherFLRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050609000411 FL Practitioner - Medical Oncology 9335194216 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
Medical College of Georgia School of Medicine, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1699 S 14TH St
Suite 1
Fernandina Beach, FL 32034-1995
Phone (904) 427-1370

425 N Lee St
204 Uf Health Oncology Lavilla
Jacksonville, FL 32204-1128
Phone (904) 427-1200

7751 Baymeadows Rd E
205 Uf Health Oncology Baymeadows
Jacksonville, FL 32256-5836
Phone (904) 427-1050

800 Prudential Dr
Jacksonville, FL 32207-8202
Phone (904) 244-3477

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
21St Century Oncology LLC CurrentSince Jan 1, 2016 Accepting new patients
Shands Jacksonville Medical Center Inc Hematology & Oncology CurrentSince Jan 1, 2018 Accepting new patients
Shands Jacksonville Medical Center Inc CurrentSince Jan 1, 2018 Accepting new patients
Genesiscare USA of Florida LLC CurrentSince Jan 1, 2016 Accepting new patients
Baptist MD Anderson Cancer Physicians Inc CurrentSince Apr 16, 2023 Accepting new patients
Genesiscare USA of Florida LLC Hematology & Oncology Current Accepting new patients
University of Florida Jacksonville Physicians, Inc. Past Accepting new patients
Regional Consultants in Hematology Oncology, Inc. Hematology & Oncology Past Accepting new patients
Genesiscare USA of Florida LLC Past Accepting new patients

Locations

425 Nursing Home Dr
Arcadia, FL 34266
Phone (863) 494-9991

1551 S 14th St
Ste D
Fernandina Beach, FL 32034
Phone (904) 277-9728

1699 S 14th St
Ste 1
Fernandina Beach, FL 32034
Phone (904) 427-1370

2160 Colonial Blvd
Fort Myers, FL 33907

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

1235 San Marco Blvd
Ste 1
Jacksonville, FL 32207

7751 Baymeadows Rd E
Ste 2
Jacksonville, FL 32256
Phone (904) 427-1050

7751 Baymeadows Rd E
Ste 205
Jacksonville, FL 32256
Phone (904) 427-1050

425 N Lee St
Ste 204
Jacksonville, FL 32204
Phone (904) 277-3477

730 Goodlette Rd
Ste 201
Naples, FL 34102
Phone (239) 262-1119

3210 Fruitville Rd
Sarasota, FL 34237
Phone (941) 364-8887

Interoperability endpoints

  • Direct secure messaging: tguthrie54473@direct.shands.ufl.edu

Organizations & group practices 9

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 3

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": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1073500328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 COLONIAL BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071410",
            "telephone_number": "239-931-7342",
            "fax_number": "239-931-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 N LEE ST STE 204",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32204",
            "telephone_number": "904-427-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7751 Baymeadows Rd E",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322565836",
            "country_code": "US",
            "telephone_number": "904-493-5190",
            "fax_number": "904-493-4092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTHRIE",
        "first_name": "TROY",
        "middle_name": "H",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME66255",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "FL",
            "license": "ME66255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4402739",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000643574D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01405056",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREPLUS",
            "identifier": "1100398",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "12687",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "1193085",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1614130",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "208075",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0533629-00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01756757",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.