Active NPI
Warren Guinn, PA
- Medical Physician Assistant
- Henderson, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 589
- Practice address
- 270 W Lake Mead Pkwy
Henderson, NV 89015-7093 - Phone
- (702) 877-5199
- NPI assigned
- Jan 23, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Medical Physician Assistant | 363AM0700X | 589 | NV | Primary |
Addresses
Primary practice location
270 W Lake Mead Pkwy
Henderson, NV 89015-7093
Mailing address
PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 877-5199
Other practice location 1
4750 W Oakey Blvd
Las Vegas, NV 89102
Phone (702) 854-2934
Other practice location 2
4750 W Oakey Blvd
Las Vegas, NV 89102
Phone (702) 854-2934
Other practice location 3
101 E Lake Mead Pkwy Ste 110
Henderson, NV 89015-5532
Phone (702) 877-5199
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2402112 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120105000394 | NV | Practitioner - Physician Assistant | 3971778507 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Optum Medical Group II Rhodes P C
Practice addresses (Care Compare)
270 W Lake Mead Pkwy
Henderson, NV 89015-7093
Phone (702) 579-3253
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- wguinn121037@westdirect.optum.com
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626048000000",
"number": "1104896281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35380",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891335380",
"telephone_number": "702-877-5199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 W LAKE MEAD PKWY",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890157093",
"telephone_number": "702-877-5199"
}
],
"practiceLocations": [
{
"address_1": "4750 W Oakey Blvd",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "89102",
"country_code": "US",
"telephone_number": "702-854-2934",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4750 W Oakey Blvd",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "89102",
"country_code": "US",
"telephone_number": "702-854-2934",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 E Lake Mead Pkwy Ste 110",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "NV",
"postal_code": "890155532",
"country_code": "US",
"telephone_number": "702-877-5199",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUINN",
"first_name": "WARREN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2021-07-12",
"certification_date": "2021-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NV",
"license": "589",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2402112",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.