Active NPI
Gerard Livaudais Guillory, M.D.
- Internal Medicine Physician
- Aurora, CO
National Provider Identifier
1235166315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 26649
- Practice address
- 750 Potomac Street
Suite 111
Aurora, CO 80011-6795 - Phone
- (303) 343-3121
- Fax
- (303) 343-2514
- NPI assigned
- Jun 26, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 26649 | CO | Primary |
Addresses
Primary practice location
750 Potomac Street
Suite 111
Aurora, CO 80011-6795
Mailing address
750 Potomac Street
Suite 111
Aurora, CO 80011-6795
Phone (303) 343-3121
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110238248 | Other | CO | RAILROAD MEDICARE |
| 01266493 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26649 | CO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New West Physicians Inc | Internal Medicine | Current | Accepting new patients |
| New West Physicians Inc | Current | Accepting new patients |
Locations
1421 S Potomac St
Ste 320
Aurora, CO 80012
Phone (303) 750-1920
1707 Cole Blvd
Ste 100
Lakewood, CO 80401
Phone (303) 716-8013
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Golden, CO
- NPI 1427010859
-
- Family Medicine Physician
- Golden, CO
- NPI 1730797630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393891200000",
"number": "1235166315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 POTOMAC STREET",
"address_2": "SUITE 111",
"city": "AURORA",
"state": "CO",
"postal_code": "800116795",
"telephone_number": "303-343-3121",
"fax_number": "303-343-2514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 POTOMAC STREET",
"address_2": "SUITE 111",
"city": "AURORA",
"state": "CO",
"postal_code": "800116795",
"telephone_number": "303-343-3121",
"fax_number": "303-343-2514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUILLORY",
"first_name": "GERARD",
"middle_name": "LIVAUDAIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2014-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "26649",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110238248",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01266493",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.