Jason Edward Guevara, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

9901414 Issued in NC

Practice address

4208 Murdocksville Rd
West End, NC 27376-8871

Phone

(910) 295-7070

Fax

(910) 295-7447

NPI assigned

Jul 31, 2006

Last updated

Apr 7, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1689680787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4208 MURDOCKSVILLE RD",
            "city": "WEST END",
            "state": "NC",
            "postal_code": "273768871",
            "telephone_number": "910-295-7070",
            "fax_number": "910-295-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4208 MURDOCKSVILLE RD",
            "city": "WEST END",
            "state": "NC",
            "postal_code": "273768871",
            "telephone_number": "910-295-7070",
            "fax_number": "910-295-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEVARA",
        "first_name": "JASON",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "9901414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerry Goldman
• Stephanie Graves, PA-C
• Kimberly G Greer, LPTA
• John Mark Griffies, D.D.S.
• Emily Fancher Grimaldi, OTR/L
• Guided Counseling and Wellness PLLC
• Deena Haley
• Kelsey Raap Halpern, LCSWA
• Alfonso Haro, DPM
• Jennifer Harvey, FNP, PMHNP

• Orthopaedic Surgery Physician in West End, NC
• Providers in West End, NC by specialty
• Orthopaedic Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.