Individual provider Active NPI

Guy S Strauss, D.O.

  • Internal Medicine Physician
  • Lake City, FL
National Provider Identifier
1578570727
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS4706 Issued in FL
Practice address
404 NW Hall of Fame Dr
Lake City, FL 32055-4833
Phone
(386) 719-2540
Fax
(386) 752-9073
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X TL1019 SC
Critical Care Medicine (Internal Medicine) Physician 207RC0200X TL1019 SC
Internal Medicine Physician 207R00000X OS4706 FL Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X OS4706 FL

Addresses

Primary practice location

404 NW Hall of Fame Dr
Lake City, FL 32055-4833

Mailing address

404 NW Hall of Fame Dr
Lake City, FL 32055-4833
Phone (386) 719-2540

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20070427000342 FL Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 7911900501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists)
Education
New York College of Osteo Medicine of New York Institute of Technology, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southern Internal Medicine PLLCGroup PAC ID 7618052580, 4 clinicians

Practice addresses (Care Compare)

404 NW Hall of Fame Dr
Lake City, FL 32055-4833
Phone (386) 719-2540

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Lake City, FL, CCN 107420
  • Brooks Rehabilitation Home Health Home health agency, Palatka, FL, CCN 109754
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • HCA Florida Lake City Hospital Hospital, Lake City, FL, CCN 100156
  • HCA Florida North Florida Hospital Hospital, Gainesville, FL, CCN 100204
  • Uf Health Shands Hospital Hospital, Gainesville, FL, CCN 100113

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions22
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4706FLMDAddiction (Substance Use Disorder) Counselor
TL1019SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Internal Medicine PLLC Internal Medicine CurrentSince Feb 8, 2008 Accepting new patients
Colleton Medical Anesthesia, LLC Past Accepting new patients
Colleton Medical Hospitalists LLC Past Accepting new patients

Locations

404 NW Hall of Fame Dr
Ste 1
Lake City, FL 32055

404 NW Hall of Fame Dr
Ste B
Lake City, FL 32055

404 NW Hall of Fame Dr
Lake City, FL 32055
Phone (386) 719-2540

Organizations & group practices 3

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.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311206400000",
    "number": "1578570727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 NW HALL OF FAME DR",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554833",
            "telephone_number": "386-719-2540",
            "fax_number": "386-752-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 NW HALL OF FAME DR",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554833",
            "telephone_number": "386-719-2540",
            "fax_number": "386-752-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAUSS",
        "first_name": "GUY",
        "middle_name": "S",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2011-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "TL1019",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "SC",
            "license": "TL1019",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS4706",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "OS4706",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

Verify at the official NPI Registry.