NPIMap

Organization Active NPI

Dr Robert Guedenet

  • Family Medicine Physician
  • Keedysville, MD
National Provider Identifier
1669660940
Registry record updated Apr 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0032518 Issued in MD
Legal business name
DR ROBERT GUEDENET
Practice address
21 Wyand Dr
Keedysville, MD 21756-1201
Phone
(301) 432-2222
Fax
(301) 432-4686
NPI assigned
Oct 11, 2007
Last updated
Apr 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2010

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

Authorized official

Name
Robert Guedenet, MDNPI 1962507491
Title
Owner
Phone
(301) 432-2222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X D0032518 MD Primary

Addresses

Primary practice location

21 Wyand Dr
Keedysville, MD 21756-1201

Mailing address

21 Wyand Dr
Keedysville, MD 21756-1201
Phone (301) 432-2222

National Provider Directory

National Provider Directory

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": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271635200000",
    "number": "1669660940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WYAND DR",
            "city": "KEEDYSVILLE",
            "state": "MD",
            "postal_code": "217561201",
            "telephone_number": "301-432-2222",
            "fax_number": "301-432-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WYAND DR",
            "city": "KEEDYSVILLE",
            "state": "MD",
            "postal_code": "217561201",
            "telephone_number": "301-432-2222",
            "fax_number": "301-432-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ROBERT GUEDENET",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2010-04-19",
        "status": "A",
        "authorized_official_last_name": "GUEDENET",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-432-2222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0032518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keedysville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.