NPIMap

Individual provider Active NPI

David J Guidry, CRNA

  • Certified Registered Nurse Anesthetist
  • Latrobe, PA
National Provider Identifier
1487628038
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN358228L Issued in PA
Practice address
121 W 2ND Ave
Latrobe, PA 15650-1068
Phone
(724) 537-1230
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN358228L PA Primary

Addresses

Primary practice location

121 W 2ND Ave
Latrobe, PA 15650-1068

Mailing address

PO Box 229
Latrobe, PA 15650-0229
Phone (201) 804-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060823000030 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7315940855 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

532 W Pittsburgh St
Greensburg, PA 15601-2239

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Excela Health Physician Practices, Inc CurrentSince Jan 1, 2016 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Jan 1, 2016 Accepting new patients
Butler Medical Providers CurrentSince Sep 26, 2025 Accepting new patients
Butler Medical Providers CurrentSince Sep 26, 2025 Accepting new patients
Butler Medical Providers Current Accepting new patients
Ligonier Anesthesia Associates LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Latrobe Anesthesia Associates, Inc Past Accepting new patients
Surgicenter at Ligonier Past Accepting new patients

Locations

127 Oneida Valley Rd
Ste 400
Butler, PA 16001
Phone (724) 431-0550

1 Hospital Way
Butler, PA 16001
Phone (412) 492-0800

24 Doctors Ln
Ste 201
Clarion, PA 16214
Phone (833) 684-1898

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

Organizations & group practices 8

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1487628038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 229",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156500229",
            "telephone_number": "201-804-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W 2ND AVE",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156501068",
            "telephone_number": "724-537-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIDRY",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN358228L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Latrobe, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.