Active NPI
Jerome Guzman, M.D.
- Orthopaedic Surgery Physician
- Melbourne, FL
National Provider Identifier
1093795692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- ME46149
- Practice address
- 709 S Harbor City Blvd
Suite 100
Melbourne, FL 32901-1938 - Phone
- (321) 725-2225
- Fax
- (321) 308-0635
- NPI assigned
- Jan 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ME46149 | FL | Primary |
Addresses
Primary practice location
709 S Harbor City Blvd
Suite 100
Melbourne, FL 32901-1938
Mailing address
220 N. Sykes Creek Pkwy
Suite 200
Merritt Island, FL 32955
Phone (321) 459-1446
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24981416 | Other | FL | CIGNA |
| 05564 | Other | FL | FLORIDA BLUE (BCBS) |
| 042035200 | Medicaid | FL | |
| 0623402 | Other | FL | AETNA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415232000000",
"number": "1093795692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 N. SYKES CREEK PKWY",
"address_2": "SUITE 200",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "32955",
"telephone_number": "321-459-1446",
"fax_number": "321-452-1261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 S HARBOR CITY BLVD",
"address_2": "SUITE 100",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329011938",
"telephone_number": "321-725-2225",
"fax_number": "321-308-0635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUZMAN",
"first_name": "JEROME",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2014-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME46149",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "24981416",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BLUE (BCBS)",
"identifier": "05564",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "042035200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0623402",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Melbourne, FL
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- Cheryl Guyan
- Guyco Senior Living Concepts (Salus Assisted Living)
- Lindsay Kate Guyer, M,A., CCC-SLP
- Jenessa Guzman
- GV Melbourne, Inc. (Grand Villa of Melbourne)
- Jasmine Gyant, LMHC
- H & F Pharmacy LLC (Viera Compounding Pharmacy)
- H & O Dental LLC
- H2 Rehabilitation Services of Florida LLC (Beachside Physical Therapy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.