Active NPI
Marc A Guerrier, M.D.
- Internal Medicine Physician
- Lakeland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME100706
- Practice address
- 1417 Lakeland Hills Blvd Ste 101
Lakeland, FL 33805-3200 - Phone
- (863) 687-4575
- NPI assigned
- Jan 16, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME100706 | FL | Primary |
Addresses
Primary practice location
1417 Lakeland Hills Blvd Ste 101
Lakeland, FL 33805-3200
Mailing address
601 S Harbour Island Blvd Ste 200
Tampa, FL 33602-5925
Phone (863) 215-6639
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124007364 | Other | NPI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Miami, LM Miller School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13940 N US Hwy 441
Suite 102
Lady Lake, FL 32159-8909
Phone (352) 751-9900
1417 Lakeland Hills Blvd
Suite 106
Lakeland, FL 33805-3200
Phone (863) 880-2375
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME100706 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Medical Associates LLC | Current | Accepting new patients | |
| Pratt Medical Center LTD | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Pratt Medical Center LTD | Internal Medicine | Past | Accepting new patients |
Locations
13940 N US Highway 441
Ste 102
Lady Lake, FL 32159
Phone (352) 509-9900
1417 Lakeland Hills Blvd
Ste 106
Lakeland, FL 33805
Phone (863) 682-8401
601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- marc.guerrier@sl.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
- Primary Care Clinic/Center
- Lady Lake, FL
- NPI 1336153709
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Clinical Medical Laboratory
- Fredericksburg, VA
- NPI 1003840950
-
- Family Medicine Physician
- Fredericksburg, VA
- NPI 1316973555
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659571200000",
"number": "1124007364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 S HARBOUR ISLAND BLVD STE 200",
"city": "TAMPA",
"state": "FL",
"postal_code": "336025925",
"telephone_number": "863-215-6639",
"fax_number": "844-388-6186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1417 LAKELAND HILLS BLVD STE 101",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338053200",
"telephone_number": "863-687-4575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERRIER",
"first_name": "MARC",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-16",
"last_updated": "2022-08-04",
"certification_date": "2022-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME100706",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1124007364",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.