Individual provider Active NPI

Guy Guimond, PA-C

  • Physician Assistant
  • Bradenton, FL
National Provider Identifier
1437595782
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9110958 Issued in FL
Practice address
4647 Manatee Ave W
Bradenton, FL 34209
Phone
(941) 745-5999
Fax
(941) 745-3555
NPI assigned
May 14, 2013
Last updated
Apr 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9110958 FL Primary
Medical Physician Assistant 363AM0700X MA056118 PA
Medical Physician Assistant 363AM0700X 50.003899 OH

Addresses

Primary practice location

4647 Manatee Ave W
Bradenton, FL 34209

Mailing address

367 S. Gulph Rd
Attn: Ipm Credentialing
King of Prussia, PA 19406-3121
Phone (941) 745-5999

Other practice location 1

6272 Lake Osprey Dr
Lakewood Ranch, FL 34240-8425
Phone (941) 907-2800

Other practice location 2

355 5th Ave
suite 1120
Pittsburgh, PA 15222-2409
Phone (412) 434-6700

Other practice location 3

9908 SR 64 East
Bradenton, FL 34212-5303
Phone (941) 747-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180724003418 FL Practitioner - Physician Assistant 1052547486 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MD Now Medical Centers IncGroup PAC ID 3971554825, 314 clinicians

Practice addresses (Care Compare)

1838 Rye Rd
Suite 107
Bradenton, FL 34212-9038
Phone (941) 462-2004

2200 Tamiami TRL
Port Charlotte, FL 33948-2177
Phone (941) 613-0022

4332 Cortez Rd W
Bradenton, FL 34210-3139
Phone (561) 963-9881

4570 Lantana Rd
Lake Worth, FL 33463-6908
Phone (561) 963-9881

5616 Tuscola Blvd
North Port, FL 34287-2738
Phone (941) 240-6273

7337 University Pkwy
Lakewood Ranch, FL 34202-2300
Phone (941) 212-2445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA056118PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dwic of Tampa Bay, Inc. CurrentSince Feb 1, 2023 Accepting new patients
MD Now Medical Centers Inc CurrentSince Mar 10, 2024 Accepting new patients
Medexpress Urgent Care of Boynton Beach, LLC CurrentSince Feb 1, 2023 Accepting new patients
Dwic of Tampa Bay, Inc CurrentSince Feb 1, 2023 Accepting new patients
Dwic of Tampa Bay, Inc Past Accepting new patients
Natura Behavioral Health LLC Past Accepting new patients
Antarctic Emergency Physicians LLC Physician Assistant Past Accepting new patients
Gloucester Chiropractic & Massage Past Accepting new patients

Locations

7593 Boynton Beach Blvd
Ste 190
Boynton Beach, FL 33437
Phone (561) 572-3200

1838 Rye Rd
#107
Bradenton, FL 34212
Phone (941) 462-2004

8849 State Road 52
Hudson, FL 34667
Phone (727) 863-7150

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

2810 W Mlk Blvd
Tampa, FL 33607
Phone (813) 289-6637

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1437595782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 S. GULPH RD",
            "address_2": "ATTN: IPM CREDENTIALING",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063121",
            "telephone_number": "941-745-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4647 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34209",
            "telephone_number": "941-745-5999",
            "fax_number": "941-745-3555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6272 Lake Osprey Dr",
            "address_purpose": "LOCATION",
            "city": "Lakewood Ranch",
            "state": "FL",
            "postal_code": "342408425",
            "country_code": "US",
            "telephone_number": "941-907-2800",
            "fax_number": "941-907-9434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "355 5th Ave",
            "address_2": "suite 1120",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152222409",
            "country_code": "US",
            "telephone_number": "412-434-6700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9908 SR 64 East",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342125303",
            "country_code": "US",
            "telephone_number": "941-747-8600",
            "fax_number": "941-749-5915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUIMOND",
        "first_name": "GUY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-14",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9110958",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA056118",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.003899",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.