Active NPI
Guercy Saint-Phard, D.P.M
- Podiatrist
- Benton Harbor, MI
National Provider Identifier
1689613416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 5901002223
- Practice address
- 190 W Empire Ave
Benton Harbor, MI 49022-7422 - Phone
- (269) 926-8535
- Fax
- (269) 926-8528
- NPI assigned
- Jun 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 5901002223 | MI | Primary |
Addresses
Primary practice location
190 W Empire Ave
Benton Harbor, MI 49022-7422
Mailing address
550 Maplewood CT. #F64
Berrien Springs, MI 49103-1381
Phone (269) 471-6835
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 480F37288 | Other | MI | BCBSMI PIN |
| 4858290 | Medicaid | MI | |
| 4995496 | Medicaid | MI | |
| 480006536 | Other | MI | RAILROAD 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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
756 Pipestone St
Benton Harbor, MI 49022-4845
Phone (269) 362-2689
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 52 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5901002223 | MI | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Labaza Eyecare, P.C. | Past | Accepting new patients | |
| Benton Harbor Health Center PLLC | Past | Accepting new patients |
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.
-
- Podiatrist
- Benton Harbor, MI
- NPI 1952566036
-
- Specialist
- Benton Harbor, MI
- NPI 1528182656
-
- Optometrist
- Rochester, MI
- NPI 1619184850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212451200000",
"number": "1689613416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 MAPLEWOOD CT. #F64",
"city": "BERRIEN SPRINGS",
"state": "MI",
"postal_code": "491031381",
"telephone_number": "269-471-6835",
"fax_number": "269-926-8528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 W EMPIRE AVE",
"city": "BENTON HARBOR",
"state": "MI",
"postal_code": "490227422",
"telephone_number": "269-926-8535",
"fax_number": "269-926-8528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAINT-PHARD",
"first_name": "GUERCY",
"name_prefix": "Dr.",
"credential": "D.P.M",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2008-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MI",
"license": "5901002223",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMI PIN",
"identifier": "480F37288",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4858290",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4995496",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "480006536",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Benton Harbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.