David Guadalupe, AA-C

Primary specialty

Anesthesiologist AssistantTaxonomy code 367H00000X

License

80 Issued in SC

Practice address

701 Grove Rd
Greenville, SC 29605-4210

Phone

(864) 455-3076

Fax

(864) 455-4135

NPI assigned

Oct 4, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in FL, SC, MO3 enrollments

Enrollment records 3

Specialty

Anesthesiology Assistant

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SSM Health Slu Hospital Anesthesia Physician Billing LLCGroup PAC ID 3274842331, 98 clinicians

Sheridan Healthcorp IncGroup PAC ID 3173429693, 956 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Aventura Hospital Hospital, Aventura, FL, CCN 100131
• SSM Health Saint Louis University Hospital Hospital, Saint Louis, MO, CCN 260105

Medicare enrollment (NPD)

Enrolled

Credentials

Associate of Arts

State licenses

Practice roles

Locations

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.

• Sheridan Healthcorp Inc

  • Anesthesiology Physician
  • Okeechobee, FL
  • NPI 1629781711

  FL

  Medicare reassignment Care Compare group NPD
• SSM Health Slu Hospital Anesthesia Physician Billing, LLC

  • Anesthesiology Physician
  • Saint Louis, MO
  • NPI 1407232804

  MO

  Medicare reassignment Care Compare group
• Prisma Health-Upstate

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1649726738

  SC

  Medicare reassignment NPD
• Boca Anesthesia Service Inc

  • Anesthesiology Physician
  • Boca Raton, FL
  • NPI 1780752170

  FL

  Medicare reassignment NPD
• Pathology Associates of Greenville PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Greenville, SC
  • NPI 1831151976
  NPD
• Prisma Health-Upstate

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1124574223
  NPD
• Boca Anesthesia Service Inc

  • Anesthesiology Physician
  • Boca Raton, FL
  • NPI 1710550223
  NPD
• Boca Anesthesia Service Inc

  • Anesthesiology Physician
  • Boca Raton, FL
  • NPI 1740207794
  NPD
• Sheridan Healthcorp Inc

  • Anesthesiology Physician
  • North Miami Beach, FL
  • NPI 1184607228
  NPD
• Sheridan Healthcorp, Inc.

  • Anesthesiology Physician
  • North Miami Beach, FL
  • NPI 1578429460
  NPD
• Anesthesia Associates of Savannah ,PA

  • Anesthesiology Physician
  • Savannah, GA
  • NPI 1487663688
  NPD (past)
• Capitol Anesthesiology, PC

  • Anesthesiology Physician
  • Morrow, GA
  • NPI 1245287192
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Miami Beach Healthcare Group, LTD.

  • General Acute Care Hospital
  • Aventura, FL
  • NPI 1407801673

  Hospital

  Care Compare affiliation
• SSM-Sluh Inc

  • General Acute Care Hospital
  • Saint Louis, MO
  • NPI 1942685920

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1467449488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 GROVE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054210",
            "telephone_number": "864-455-3076",
            "fax_number": "864-455-4135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 45th Street",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "33407",
            "country_code": "US",
            "telephone_number": "561-863-3855",
            "fax_number": "561-881-2649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUADALUPE",
        "first_name": "DAVID",
        "credential": "AA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "GA",
            "license": "3514",
            "primary": false
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "FL",
            "license": "AA83",
            "primary": false
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "SC",
            "license": "80",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000942F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000942A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000942E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Rider Grubbs, MD, MEMBER AAP
• Madeleine Pressley Grumbles, PA
• Leeanne Jones Grumelot, PA
• Heidi Grzybowski
• Keni Gu, M.D.
• Guardian Angels of the Upstate,LLC
• Carolyn Elizabeth Guari
• Jamie Ann Guay, LMFT-A
• Suzanne Herta Gubitosa, AGPCNP-BC
• Sharon Nicole Guerra, DNP, MBA, FNP-BC

• All providers in Greenville, SC
• Anesthesiologist Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.