Kathryn Mary Guffrey, M.D.
Individual provider Active NPI Emergency Medicine Physician · Dededo, GU
NPI 1144512252 · NPPES record last updated Sep 23, 2016
Key facts
- NPI
- 1144512252
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 2014-01513 (NC)
- Practice address
- 113 Route 3
GRMC, Emergency Department
Dededo, GU 96912 - Phone
- (671) 645-5500
- NPI assigned
- May 8, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southwest Florida Emergency Management LLC
Southeastern Emergency Physicians LLC
Practice addresses (Care Compare)
350 7TH St N
Naples, FL 34102-5754
Phone (239) 436-5000
742 Middle Creek Rd
Sevierville, TN 37862-5019
Phone (865) 908-3608
Hospital & facility affiliations
- Naples Community Hospital
- Parkwest Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL, TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190109000759 | FL | Practitioner - Emergency Medicine | 5799906780 | Reassigns benefits to 2 organizations |
| I20260210000669 | TN | Practitioner - Emergency Medicine | 5799906780 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76036 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles (3 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current |
Accepting new patients |
| Thse - Marco Urgent Care LLC | Current |
Accepting new patients | |
| Southwest Florida Emergency Management LLC | Emergency Medicine | Current |
Accepting new patients |
Locations
40 S Heathwood Dr
Marco Island, FL 34145
Phone (239) 393-4079
350 7th St N
Naples, FL 34102
Phone (239) 436-5000
14050 NW 14th St
Ste 190
Sunrise, FL 33323
Phone (954) 424-3672
9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000
742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2014-01513 | NC | Yes |
| Emergency Medicine Physician | 207P00000X | M-1990 | GU |
Addresses
Primary practice location
113 Route 3
GRMC, Emergency Department
Dededo, GU 96912
Mailing address
PO Box 3830
GRMC, Credentialing
Hagatna, GU 96932-3830
Phone (671) 645-5546
Other providers in Dededo, GU
- Government of Guam Department of Administration
- Government of Guam Department of Administration
- Guam Healthcare Development Incorporated
- Guam Healthcare Development Incorporated
- Guam Regional Medical City
- Gurusamy Inc.
- Sarah Elisabeth Haley-Wien
- Sangwook Han
- Harmon Doctors' Clinic
- Brian Neal Harris
All providers in Dededo, GU · Emergency Medicine Physician in Guam
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.