NPIMap

Individual provider Active NPI

Mert Verzo Guinto

  • General Practice Physician
  • Paris, IL
National Provider Identifier
1689776593
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
036-053711 Issued in IL
Practice address
721 E Court St
Paris, IL 61944-2460
Phone
(217) 465-4141
Fax
(217) 463-2769
NPI assigned
Sep 1, 2006
Last updated
Feb 22, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036-053711 IL
General Practice Physician 208D00000X 036-053711 IL Primary

Addresses

Primary practice location

721 E Court St
Paris, IL 61944-2460

Mailing address

2905 Whitetail Dr
Charleston, IL 61920-3866
Phone (217) 345-4503

Other names 1

  • Dr. Mamerto Verzo Guinto Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-053711ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oversight Physician Technologies, PC Past Accepting new patients
Broncor Inc PastSince Oct 29, 2012 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mguinto@yourcarecommunity.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361491200000",
    "number": "1689776593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 WHITETAIL DR",
            "city": "CHARLESTON",
            "state": "IL",
            "postal_code": "619203866",
            "telephone_number": "217-345-4503",
            "fax_number": "217-345-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 E COURT ST",
            "city": "PARIS",
            "state": "IL",
            "postal_code": "619442460",
            "telephone_number": "217-465-4141",
            "fax_number": "217-463-2769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUINTO",
        "first_name": "MERT",
        "middle_name": "VERZO",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2013-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-053711",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036-053711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAMERTO",
            "last_name": "GUINTO",
            "middle_name": "VERZO",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Paris, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; 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.