Active NPI
Guillermo R Juncos, MD
- Allergy & Immunology Physician
- Exton, PA
National Provider Identifier
1386752590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 033286-L
- Practice address
- 80 W Welsh Pool Rd
Medical Arts BLDG Ste 206
Exton, PA 19341-1233 - Phone
- (610) 363-7244
- Fax
- (610) 524-8446
- NPI assigned
- Aug 28, 2006
- Last updated
- Feb 26, 2008
- 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 |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 033286-L | PA | Primary |
Addresses
Primary practice location
80 W Welsh Pool Rd
Medical Arts BLDG Ste 206
Exton, PA 19341-1233
Mailing address
80 W Welsh Pool Rd
Medical Arts BLDG Ste 206
Exton, PA 19341-1233
Phone (610) 363-7244
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006277690003 | Medicaid | PA | |
| 4257119 | Other | AETNA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 033286-L | PA | MD | Allergy & Immunology Physician |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Allergy & Immunology Physician
- Exton, PA
- NPI 1689876062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203984000000",
"number": "1386752590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 W WELSH POOL RD",
"address_2": "MEDICAL ARTS BLDG STE 206",
"city": "EXTON",
"state": "PA",
"postal_code": "193411233",
"telephone_number": "610-363-7244",
"fax_number": "610-524-8446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 W WELSH POOL RD",
"address_2": "MEDICAL ARTS BLDG STE 206",
"city": "EXTON",
"state": "PA",
"postal_code": "193411233",
"telephone_number": "610-363-7244",
"fax_number": "610-524-8446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNCOS",
"first_name": "GUILLERMO",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-28",
"last_updated": "2008-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "PA",
"license": "033286-L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006277690003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4257119",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Exton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.