Individual provider Active NPI

William Marshall Guy, M.D.

  • Facial Plastic Surgery Physician
  • Shenandoah, TX
National Provider Identifier
1073844957
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
P9864 Issued in TX
Practice address
128 Vision Park Blvd
Suite 150
Shenandoah, TX 77384-3017
Phone
(832) 956-1040
Fax
(832) 956-1045
NPI assigned
Jan 16, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X BP10034383 TX
Facial Plastic Surgery Physician 207YS0123X 32968 AL
Facial Plastic Surgery Physician 207YS0123X P9864 TX Primary

Addresses

Primary practice location

128 Vision Park Blvd
Suite 150
Shenandoah, TX 77384-3017

Mailing address

128 Vision Park Blvd
Suite 150
Shenandoah, TX 77384-3017
Phone (832) 956-1040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150527000404 TX Practitioner - Otolaryngology 9032439419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Baylor College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

128 Vision Park Blvd
Suite 150
Shenandoah, TX 77384-3018
Phone (832) 956-1040

Hospital & facility affiliations

  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10034383TXMDOtolaryngology Physician
32968ALMDFacial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
W. Marshall Guy, MD PLLC Facial Plastic Surgery CurrentSince May 13, 2015 Accepting new patients
Plastic Eye Surgery Associates, PLLC PastSince May 13, 2015 Accepting new patients

Locations

128 Vision Park Blvd
Ste 150
Shenandoah, TX 77384
Phone (713) 492-8929

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCHJCD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1263600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1073844957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 VISION PARK BLVD",
            "address_2": "SUITE 150",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843017",
            "telephone_number": "832-956-1040",
            "fax_number": "832-956-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 VISION PARK BLVD",
            "address_2": "SUITE 150",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843017",
            "telephone_number": "832-956-1040",
            "fax_number": "832-956-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUY",
        "first_name": "WILLIAM",
        "middle_name": "MARSHALL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-16",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "BP10034383",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "AL",
            "license": "32968",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "TX",
            "license": "P9864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.