Olivette A Guedon, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101221402 Issued in VA

Practice address

98 15TH St NW
Norton, VA 24273-1600

Phone

(540) 446-2278

Fax

(804) 545-3995

NPI assigned

Sep 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Guedon Medical Clinic

  • Primary Care Clinic/Center
  • Norton, VA
  • NPI 1689854846

  Family Medicine

  NPD (past) Authorized official
• Emcare Physician Providers Inc.

  • Emergency Medicine Physician
  • Clintwood, VA
  • NPI 1891706008
  NPD (past)
• Norton Community Physician Services LLC

  • Internal Medicine Physician
  • Pennington Gap, VA
  • NPI 1841098175
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184716800000",
    "number": "1497857312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242730097",
            "telephone_number": "540-446-2278",
            "fax_number": "804-545-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 15TH ST NW",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242731600",
            "telephone_number": "540-446-2278",
            "fax_number": "804-545-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEDON",
        "first_name": "OLIVETTE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101221402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7076021",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "236091",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "1539730",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Srikumar Gopalan, MD
• Graybeal Orthopedic LLC (Anchor Brace and Limb)
• Melissa Caroline Green Begley, FNP
• Michael R Green, M.D.
• Guedon Medical Clinic
• Nyla Jewell Gulley, PA-C
• Bria Hairston, PA-C
• Krystal Hall
• Ladonna Hall, LCSW
• Tracie Suzette Hall, LCSW

• Family Medicine Physician in Norton, VA
• Providers in Norton, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.