Active NPI
Tayler Christian Guedry, PA
- Physician Assistant
- Baton Rouge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 8300 Constantin Blvd
Baton Rouge, LA 70809-3489 - Phone
- (225) 374-1528
- Fax
- (225) 374-1611
- NPI assigned
- Aug 23, 2017
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | LA | Primary |
Addresses
Primary practice location
8300 Constantin Blvd
Baton Rouge, LA 70809-3489
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 374-1528
Other practice location 1
7777 Hennessy Blvd Ste 306
Baton Rouge, LA 70808-4365
Phone (225) 374-0500
Other practice location 2
5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Phone (225) 757-0552
Other practice location 3
8080 Bluebonnet Blvd Ste 1000
Baton Rouge, LA 70810-7827
Phone (225) 924-2424
Other practice location 4
8200 Constantin Blvd Fl 1
Baton Rouge, LA 70809-3481
Phone (225) 765-5500
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tguedry101632@direct.casso.us.com | Direct | |
| FHIR URL | https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Other | |
| Direct Messaging Address | tguedry101632@direct.casso.us.com | Direct | |
| FHIR URL | https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Womans Way
Baton Rouge, LA 70817-5100
Phone (225) 924-8267
3330 Masonic Dr
Alexandria, LA 71301-3841
Phone (318) 487-1122
4801 Ambassador Caffery Pkwy
Lafayette, LA 70508-6917
Phone (225) 757-0552
5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Phone (225) 757-0552
6300 Main St
Zachary, LA 70791-4037
Phone (225) 658-4000
Hospital & facility affiliations
- Our Lady of the Lake Regional Medical Center
- Christus St Frances Cabrini Hospital
- Womans Hospital
- Our Lady of Lourdes Regional Medical Center, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Our Lady of the Lake Physician Group LLC | Current | Accepting new patients | |
| Our Lady of the Lake Physician Group LLC | Physician Assistant | Current | Accepting new patients |
Locations
5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050
8200 Constantin Blvd
Fl 1
Baton Rouge, LA 70809
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011
8300 Constantin Blvd
Baton Rouge, LA 70809
Phone (225) 374-1410
Interoperability endpoints
- tguedry101632@direct.casso.us.com
- tguedry23079@womanshospital.direct-ci.com
Organizations & group practices 3
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.
-
- Diagnostic Radiology Physician
- Baton Rouge, LA
- NPI 1659347771
-
- Internal Medicine Physician
- Baton Rouge, LA
- NPI 1033494943
Physician Assistant
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Baton Rouge, LA
- NPI 1235912502
Hospital & facility affiliations 21
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Student Health Clinic/Center
- Pineville, LA
- NPI 1023139458
Hospital
-
- Student Health Clinic/Center
- Pineville, LA
- NPI 1093836421
Hospital
-
- Student Health Clinic/Center
- Provencal, LA
- NPI 1164687307
Hospital
-
- Student Health Clinic/Center
- Natchitoches, LA
- NPI 1356462782
Hospital
-
- Student Health Clinic/Center
- Marthaville, LA
- NPI 1609031962
Hospital
-
- General Acute Care Hospital
- Alexandria, LA
- NPI 1639160799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1275050007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5959 S SHERWOOD FOREST BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708166038",
"telephone_number": "225-374-1528",
"fax_number": "225-765-9196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8300 CONSTANTIN BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708093489",
"telephone_number": "225-374-1528",
"fax_number": "225-374-1611"
}
],
"practiceLocations": [
{
"address_1": "7777 Hennessy Blvd Ste 306",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708084365",
"country_code": "US",
"telephone_number": "225-374-0500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5000 Hennessy Blvd",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708084375",
"country_code": "US",
"telephone_number": "225-757-0552",
"fax_number": "225-763-9997",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8080 Bluebonnet Blvd Ste 1000",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708107827",
"country_code": "US",
"telephone_number": "225-924-2424",
"fax_number": "225-408-7984",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8200 Constantin Blvd Fl 1",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708093481",
"country_code": "US",
"telephone_number": "225-765-5500",
"fax_number": "225-765-5543",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUEDRY",
"first_name": "TAYLER",
"middle_name": "CHRISTIAN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-23",
"last_updated": "2022-07-21",
"certification_date": "2022-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "LA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tguedry101632@direct.casso.us.com",
"affiliation": "N",
"endpointDescription": "FMOLHS-Epic",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "tguedry101632@direct.casso.us.com",
"address_1": "8200 Constantin Blvd Fl 1",
"city": "Baton Rouge",
"state": "LA",
"country_code": "US",
"postal_code": "708093481",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "FMOLHS FHIR URL",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "8200 Constantin Blvd Fl 1",
"city": "Baton Rouge",
"state": "LA",
"country_code": "US",
"postal_code": "708093481",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tguedry101632@direct.casso.us.com",
"affiliation": "N",
"endpointDescription": "FMOLHS-Epic",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "tguedry101632@direct.casso.us.com",
"address_1": "8300 Constantin Blvd",
"city": "Baton Rouge",
"state": "LA",
"country_code": "US",
"postal_code": "708093489",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "FMOLHS FHIR URL",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDS",
"address_1": "8300 Constantin Blvd",
"city": "Baton Rouge",
"state": "LA",
"country_code": "US",
"postal_code": "708093489",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- 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.