Organization Active NPI

W. Marshall Guy, MD PLLC

  • Facial Plastic Surgery Physician
  • Shenandoah, TX
National Provider Identifier
1154717445
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
Legal business name
W. MARSHALL GUY, MD PLLC
Practice address
128 Vision Park Blvd Ste 150
Shenandoah, TX 77384-3021
Phone
(713) 492-8929
NPI assigned
Apr 13, 2015
Organization subpart
No

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

Authorized official

Name
Dr. William Marshall Guy, MDNPI 1073844957
Title
President
Phone
(713) 492-8929

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YS0123X P9864 TX Primary

Addresses

Primary practice location

128 Vision Park Blvd Ste 150
Shenandoah, TX 77384-3021

Mailing address

128 Vision Park Blvd Ste 150
Shenandoah, TX 77384-3021
Phone (713) 492-8929

Other names 1

  • Dr. Guy Facial Plastic Surgery Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150527000233 TX Part B Supplier - Clinic/Group Practice 8123348505 Receives reassigned benefits from 1 practitioner
Practice locations: Shenandoah, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2342900Dr Guy Facial Plastic Surgery128 Vision Park Blvd Ste 150, Shenandoah, TX 77384Certificate of waiverApr 27, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1154717445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 VISION PARK BLVD STE 150",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843021",
            "telephone_number": "713-492-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 VISION PARK BLVD STE 150",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843021",
            "telephone_number": "713-492-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W. MARSHALL GUY, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "GUY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MARSHALL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-492-8929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "TX",
            "license": "P9864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Guy Facial Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shenandoah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.