Individual provider Active NPI

Johnstuart M Guarnieri, MD

  • Plastic Surgery Physician
  • Williamsburg, VA
National Provider Identifier
1215025200
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
0101041390 Issued in VA
Practice address
333 McLaws Cir
Suite 3
Williamsburg, VA 23185-6339
Phone
(757) 345-2275
Fax
(757) 229-3435
NPI assigned
Oct 11, 2006
Last updated
Jan 30, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 0101041390 VA Primary

Addresses

Primary practice location

333 McLaws Cir
Suite 3
Williamsburg, VA 23185-6339

Mailing address

333 McLaws Cir
Suite 3
Williamsburg, VA 23185-6339
Phone (757) 345-2275

Other identifiers 6

IdentifierTypeStateIssuer
27607OtherVASENTARA
450470381OtherSCTRICARE
P00108974OtherGARAILROAD MEDICARE
292271OtherVAANTHEM
480669OtherVAMDIPA
006901913MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120308000702 VA Practitioner - Plastic and Reconstructive Surgery 2365433257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Eastern Virginia Medical School, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

333 McLaws Cir
Suite 3
Williamsburg, VA 23185-6339
Phone (757) 345-2275

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision101
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Williamsburg Plastic Surgery PC Plastic Surgery CurrentSince Apr 29, 2002 Accepting new patients
Aesthetic Center for Cosmetic and Plastic Surgery Current Accepting new patients

Locations

333 McLaws Cir
Ste 3
Williamsburg, VA 23185
Phone (757) 345-2275

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233273600000",
    "number": "1215025200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 MCLAWS CIR",
            "address_2": "SUITE 3",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231856339",
            "telephone_number": "757-345-2275",
            "fax_number": "757-229-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 MCLAWS CIR",
            "address_2": "SUITE 3",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231856339",
            "telephone_number": "757-345-2275",
            "fax_number": "757-229-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUARNIERI",
        "first_name": "JOHNSTUART",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2009-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "VA",
            "license": "0101041390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "27607",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "450470381",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00108974",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "292271",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDIPA",
            "identifier": "480669",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006901913",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.