Organization Active NPI

Guste Plastic and Reconstructive Surgery, LLC

  • Medical Specialty Clinic/Center
  • Metairie, LA
National Provider Identifier
1649709452
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
GUSTE PLASTIC AND RECONSTRUCTIVE SURGERY, LLC
Practice address
3900 Veterans Blvd.,
Suite 200
Metairie, LA 70002
Phone
(504) 455-1000
Fax
(504) 455-1555
NPI assigned
Jun 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
John Patrick Guste, MDNPI 1710121306
Title
Member
Phone
(504) 455-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

3900 Veterans Blvd.,
Suite 200
Metairie, LA 70002

Mailing address

3900 Veterans Blvd.,
Suite 200
Metairie, LA 70002
Phone (504) 455-1000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170920000736 LA Part B Supplier - Clinic/Group Practice 2466726112 Receives reassigned benefits from 2 practitioners
Practice locations: Metairie, LA

National Provider Directory

National Provider Directory

Locations

3900 Vets Blvd
Ste 200
Metairie, LA 70002
Phone (504) 455-1000

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1649709452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 VETERANS BLVD.,",
            "address_2": "SUITE 200",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70002",
            "telephone_number": "504-455-1000",
            "fax_number": "504-455-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 VETERANS BLVD.,",
            "address_2": "SUITE 200",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70002",
            "telephone_number": "504-455-1000",
            "fax_number": "504-455-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUSTE PLASTIC AND RECONSTRUCTIVE SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GUSTE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "504-455-1000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.