Ryan M Guillory MD PA

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

N8298 Issued in TX

Legal business name

RYAN M GUILLORY MD PA

Doing business as

East Texas Ear, Nose, & Throat
FYZICAL Longview

Practice address

912 Walnut Hill Dr
Longview, TX 75605-5052

Phone

(903) 291-6300

NPI assigned

Apr 27, 2017

Last updated

Nov 30, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shelby Browne

Title

Practice Administrator

Phone

(903) 235-8181

Specialties & licenses 2

Addresses

Other names 2

• East Texas Ear, Nose, & Throat Doing business as
• FYZICAL Longview Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marisa N. H. Guillory, MD

  • Pediatric Sleep Medicine Physician
  • Longview, TX
  • NPI 1942429279
  Medicare reassignment Care Compare group NPD
• Ryan M Guillory, MD

  • Otolaryngology Physician
  • Longview, TX
  • NPI 1104947175
  Medicare reassignment Care Compare group NPD
• James Andrew Leath, FNP-C

  • Family Nurse Practitioner
  • Longview, TX
  • NPI 1528541489
  Medicare reassignment Care Compare group NPD
• Kristen Nicole Mackay, PT, DPT

  • Physical Therapist
  • College Station, TX
  • NPI 1336928522
  Medicare reassignment Care Compare group NPD
• Hunter Skoog, MD

  • Otolaryngology Physician
  • Longview, TX
  • NPI 1184120495
  Medicare reassignment Care Compare group NPD
• Jeanne Marie Santos Ubalde, PT, CLT

  • Physical Therapist
  • Longview, TX
  • NPI 1386126233
  Medicare reassignment Care Compare group NPD
• Sierra Elizabeth Friend, AU.D.

  • Audiologist
  • Longview, TX
  • NPI 1124860267
  NPD
• Kourtney Marie Willett, PA-C

  • Surgical Physician Assistant
  • Longview, TX
  • NPI 1326691957
  NPD
• Michelle Duvall Heath

  • Audiologist
  • Longview, TX
  • NPI 1376477646
  NPD (past)
• Kylie Ann Roberts, PT,DPT

  • Physical Therapist
  • Longview, TX
  • NPI 1851223648
  NPD (past)

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1184159055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 WALNUT HILL DR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 WALNUT HILL DR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055052",
            "telephone_number": "903-291-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN M GUILLORY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-27",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "BROWNE",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "903-235-8181"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "N8298",
            "primary": true
        },
        {
            "code": "2080S0012X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sleep Medicine",
            "state": "TX",
            "license": "N9215",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Texas Ear, Nose, & Throat",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FYZICAL Longview",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Trenton Russell
• Rustic Roots Family Care PLLC
• Amy Michelle Rutland, RBT
• Esperance Uwizeye Rwabukamba
• Ryan Darr DDS PLLC
• S & S Residential LLC
• S&H Homes Inc
• Julie Ann Saathoff, PT, DPT
• Sabine Valley Regional MHMR Center (Sabine Valley Center)
• Sabine Valley Regional MHMR Center (Community Healthcore)

• Otolaryngology Physician in Longview, TX
• Providers in Longview, TX by specialty
• Otolaryngology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.