Organization Active NPI

Stephen V. Guida, Dpmpa

  • Podiatrist
  • Fort Lauderdale, FL
National Provider Identifier
1518240472
Registry record updated Nov 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO2047 Issued in FL
Legal business name
STEPHEN V. GUIDA, DPMPA
Practice address
4800 NE 20TH Ter
Ste 209D
Ft Lauderdale, FL 33308
Phone
(954) 776-1612
Fax
(954) 776-1699
NPI assigned
Sep 27, 2011
Last updated
Nov 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2023

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

Authorized official

Name
Vicky F Harkins, RMC
Title
Billing Manager
Phone
(800) 503-1375

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO2047 FL Primary

Addresses

Primary practice location

4800 NE 20TH Ter
Ste 209D
Ft Lauderdale, FL 33308

Mailing address

4800 NE 20TH Ter
Ste 209D
Ft Lauderdale, FL 33308
Phone (954) 776-1612

Other identifiers 3

IdentifierTypeStateIssuer
65154OtherFLBCBS
390124600MedicaidFL
6200453OtherFLGHI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120207000707 FL Part B Supplier - Clinic/Group Practice 2961669601 Receives reassigned benefits from 1 practitioner
Practice locations: Ft Lauderdale, FL

National Provider Directory

National Provider Directory

Locations

4800 NE 20th Ter
Ste 209
Ft Lauderdale, FL 33308
Phone (954) 776-1612

4800 NE 20th Ter
Ste 209D
Ft Lauderdale, FL 33308
Phone (954) 776-1612

5601 N Dixie Hwy
Ste 120
Oakland Park, FL 33334
Phone (954) 776-1612

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700784000000",
    "number": "1518240472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 NE 20TH TER",
            "address_2": "STE 209D",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "33308",
            "telephone_number": "954-776-1612",
            "fax_number": "954-776-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 NE 20TH TER",
            "address_2": "STE 209D",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "33308",
            "telephone_number": "954-776-1612",
            "fax_number": "954-776-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN V. GUIDA, DPMPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-27",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-24",
        "status": "A",
        "authorized_official_last_name": "HARKINS",
        "authorized_official_first_name": "VICKY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "800-503-1375",
        "authorized_official_credential": "RMC"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "65154",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390124600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6200453",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.