Individual provider Active NPI

John Paul Guercio Jr., M.D.

  • Internal Medicine Physician
  • Maitland, FL
National Provider Identifier
1306850441
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME33819 Issued in FL
Practice address
2600 Lake Lucien Dr Ste 112
Maitland, FL 32751
Phone
(321) 207-9029
Fax
(844) 410-7960
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME 33819 FL
Internal Medicine Physician 207R00000X ME33819 FL Primary

Addresses

Primary practice location

2600 Lake Lucien Dr Ste 112
Maitland, FL 32751

Mailing address

2600 Lake Lucien Dr Ste 112
Maitland, FL 32751-7233
Phone (321) 207-9029

Other practice location 1

4348 Southpoint Blvd
Suite 100
Jacksonville, FL 32216-0903
Phone (904) 281-1915

Other practice location 2

4348 Southpoint Blvd
Suite 100
Jacksonville, FL 32216-0903
Phone (904) 281-1915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 33819FLMDPulmonary Disease Physician
33819FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jose R. Marquina, M.D., P.a. Pulmonary Disease Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1306850441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 LAKE LUCIEN DR STE 112",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517233",
            "telephone_number": "321-207-9029",
            "fax_number": "844-410-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 LAKE LUCIEN DR STE 112",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "32751",
            "telephone_number": "321-207-9029",
            "fax_number": "844-410-7960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4348 Southpoint Blvd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322160903",
            "country_code": "US",
            "telephone_number": "904-281-1915",
            "fax_number": "904-281-1119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4348 Southpoint Blvd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322160903",
            "country_code": "US",
            "telephone_number": "904-281-1915",
            "fax_number": "904-281-1119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUERCIO",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME 33819",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME33819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.