Charles Walker Guy II, DO

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

P0727 Issued in TX

Practice address

101 Burnett CT Ste B
Waco, TX 76712-3100

Phone

(254) 504-6163

NPI assigned

Jun 29, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 18, 2023 through Jul 18, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Scott & White Hospital - Taylor

  dba Baylor Scott & White Medical Center - Taylor

  • Emergency Medicine Physician
  • Taylor, TX
  • NPI 1659366557

  Single Specialty

  NPD (past)
• Dr B. E. Holmes PA

  • Family Medicine Physician
  • Lonoke, AR
  • NPI 1336353457

  Single Specialty

  NPD (past)
• Sherwood Urgent Care

  • Family Medicine Physician
  • Searcy, AR
  • NPI 1649201286

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1336346535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W CENTRAL TEXAS EXPY STE 210",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765487469",
            "telephone_number": "254-618-4933",
            "fax_number": "254-202-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BURNETT CT STE B",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767123100",
            "telephone_number": "254-504-6163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUY",
        "first_name": "CHARLES",
        "middle_name": "WALKER",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "TX",
            "license": "P0727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadege Tacha Gunn, M.D.
• Lauren M Gunnell, PA-C
• N W Godagama Gamage Oshadhi Aneesha Gurusinha
• Madison Gutierrez
• Lisandro Ariel Gutierrz
• H Bruce Hamilton, MD PA
• H-E-B, LP (HEB Pharmacy #557)
• H-E-B, LP (HEB Pharmacy #672)
• H-E-B, LP (HEB Pharmacy #423)
• H-E-B, LP (HEB Pharmacy #064)

• Facial Plastic Surgery Physician in Waco, TX
• Providers in Waco, TX by specialty
• Facial Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.