Individual provider Active NPI

Lisa L Guyot, MD PHD

  • Neurological Surgery Physician
  • Grand Blanc, MI
National Provider Identifier
1639144736
Registry record updated Sep 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
LG063620 Issued in MI
Practice address
841 Health Park Boulevard
Grand Blanc, MI 48439-7383
Phone
(810) 606-7340
Fax
(810) 606-7770
NPI assigned
Feb 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X LG063620 MI Primary

Addresses

Primary practice location

841 Health Park Boulevard
Grand Blanc, MI 48439-7383

Mailing address

841 Health Park Boulevard
Grand Blanc, MI 48439-7383
Phone (810) 606-7340

Other identifiers 4

IdentifierTypeStateIssuer
1402510642OtherMIBLUE CROSS BLUE SHIELD
0992728OtherMIHEALTH PLUS
4568737MedicaidMI
P00090552OtherGARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040220000208 MI Practitioner - Neurosurgery 0143115881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Wayne State University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesys Practice Partners IncGroup PAC ID 3476456492, 37 clinicians

Practice addresses (Care Compare)

1 Genesys Pkwy
Grand Blanc, MI 48439-8065

3399 Pollock Rd
Suite a
Grand Blanc, MI 48439-8395
Phone (810) 606-7550

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion60
Laminectomy or laminotomy (partial removal of spine bones)69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LG063620MIMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesys Practice Partners, Inc CurrentSince Sep 1, 2021 Accepting new patients
Genesys Practice Partners Inc Current Accepting new patients
Genesys Practice Partners Inc CurrentSince Sep 1, 2021 Accepting new patients

Locations

1460 N Center Rd
Burton, MI 48509
Phone (810) 424-2011

445 N Fenway Dr
Fenton, MI 48430
Phone (810) 616-7246

1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733

3595 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-7340

841 Health Park Blvd
Grand Blanc, MI 48439
Phone (810) 606-6894

1 Genesys Pkwy
Ste 3452
Grand Blanc, MI 48439
Phone (248) 849-2600

1 Genesys Pkwy
Ste 3615
Grand Blanc, MI 48439

3399 Pollock Rd
Ste A
Grand Blanc, MI 48439
Phone (810) 606-7550

Interoperability endpoints

  • Direct secure messaging: lguyot1130941@direct.hfhs.org

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 3

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347667200000",
    "number": "1639144736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 HEALTH PARK BOULEVARD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397383",
            "telephone_number": "810-606-7340",
            "fax_number": "810-606-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 HEALTH PARK BOULEVARD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397383",
            "telephone_number": "810-606-7340",
            "fax_number": "810-606-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUYOT",
        "first_name": "LISA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2012-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MI",
            "license": "LG063620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1402510642",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "0992728",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4568737",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00090552",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.