Kimberly Maria Neathamer-Guillory, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD.203113 Issued in LA

Practice address

15813 Paul Vega MD Dr
Suite 200
Hammond, LA 70403-1426

Phone

(985) 230-7650

Fax

(985) 230-7655

NPI assigned

Jun 17, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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

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.

• North Oaks Physician Group, LLC

  • Multi-Specialty Clinic/Center
  • Hammond, LA
  • NPI 1427035211
  Medicare reassignment NPD
• St. Tammany Parish Hospital Service District No 1

  • General Acute Care Hospital
  • Covington, LA
  • NPI 1598798597
  Medicare reassignment NPD
• St Tammany Parish Hospital Service District No 1

  • Internal Medicine Physician
  • Covington, LA
  • NPI 1083793582
  NPD

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413763200000",
    "number": "1497916076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3087",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704043087",
            "telephone_number": "985-230-7650",
            "fax_number": "985-230-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15813 PAUL VEGA MD DR",
            "address_2": "SUITE 200",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031426",
            "telephone_number": "985-230-7650",
            "fax_number": "985-230-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEATHAMER-GUILLORY",
        "first_name": "KIMBERLY",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2014-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "MD.203113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1098396",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Devin Neal
• Donna Dauterive Neal, R. N.
• Jacob R Neal, N.P.
• Rebecca Bremermann Neal
• Wendi Neal, FNP-C
• Thomas Michael Nedow
• Anthony Todd Neeson, MS, ATC, LAT, CSCS
• Melissa M Neeson, LCSW, C-SSWS
• Doiron Nelson
• James Louis Nelson, MD

• Obstetrics & Gynecology Physician in Hammond, LA
• Providers in Hammond, LA by specialty
• Obstetrics & Gynecology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; 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.