Active NPI
Mark Gerard Guarino, DC
- Chiropractor
- Glen Allen, VA
National Provider Identifier
1396726188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104000710
- Practice address
- 10148 W Broad St
Ste 101
Glen Allen, VA 23060-6760 - Phone
- (804) 747-7474
- Fax
- (804) 965-9360
- NPI assigned
- Nov 8, 2005
- Last updated
- Nov 17, 2011
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104000710 | VA | Primary |
Addresses
Primary practice location
10148 W Broad St
Ste 101
Glen Allen, VA 23060-6760
Mailing address
10148 W Broad St
Ste 101
Glen Allen, VA 23060-6760
Phone (804) 747-7474
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 170425 | Other | SOUTHERN HEALTH | |
| 460541 | Other | ACN | |
| 0827590 | Other | CIGNA | |
| 2125679 | Other | AETNA | |
| 4400136 | Other | UNITED HEALTH CARE | |
| 054234 | Other | ANTHEM | |
| 1456026 | Other | BLUE CROSS HIGH MARK |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104000710 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Will McGhee PLLC | Chiropractor | Current | Accepting new patients |
Locations
10148 W Broad St
Ste 101
Glen Allen, VA 23060
Phone (804) 747-7424
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.
-
- Chiropractor
- Glen Allen, VA
- NPI 1710019070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321488000000",
"number": "1396726188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10148 W BROAD ST",
"address_2": "STE 101",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230606760",
"telephone_number": "804-747-7474",
"fax_number": "804-965-9360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10148 W BROAD ST",
"address_2": "STE 101",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230606760",
"telephone_number": "804-747-7474",
"fax_number": "804-965-9360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUARINO",
"first_name": "MARK",
"middle_name": "GERARD",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-08",
"last_updated": "2011-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104000710",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "170425",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN",
"identifier": "460541",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0827590",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2125679",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "4400136",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "054234",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS HIGH MARK",
"identifier": "1456026",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glen Allen, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.