Active NPI
Guy Guimond, PA-C
- Physician Assistant
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9110958
- 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, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA056118 | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dwic of Tampa Bay, Inc. | Current | Accepting new patients | |
| MD Now Medical Centers Inc | Current | Accepting new patients | |
| Medexpress Urgent Care of Boynton Beach, LLC | Current | Accepting new patients | |
| Dwic of Tampa Bay, Inc | Current | 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.
-
- Urgent Care Clinic/Center
- West Palm Beach, FL
- NPI 1033195474
-
dba MedExpress Urgent Care - Boynton Beach
- Urgent Care Clinic/Center
- Boynton Beach, FL
- NPI 1366544728
-
dba MedExpress Urgent Care - Clearwater
- Urgent Care Clinic/Center
- Clearwater, FL
- NPI 1780633834
-
dba MedExpress Urgent Care - Lakeland, N Road 98
- Urgent Care Clinic/Center
- Lakeland, FL
- NPI 1902376973
-
dba MedExpress Urgent Care - Northside
- Urgent Care Clinic/Center
- Tampa, FL
- NPI 1023067220
-
dba MD Now Urgent Care
- Urgent Care Clinic/Center
- Pembroke Pines, FL
- NPI 1265107361
-
dba MedExpress Urgent Care - Hudson, State Road 52
- Urgent Care Clinic/Center
- Hudson, FL
- NPI 1598132490
-
- Emergency Medicine Physician
- Waynesburg, PA
- NPI 1770987026
Physician Assistant
-
- Chiropractor
- Hayes, VA
- NPI 1972993632
-
- Community/Behavioral Health Agency
- Alliance, OH
- NPI 1699450635
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.