NPIMap

Organization Active NPI

Guedon Medical Clinic

  • Primary Care Clinic/Center
  • Norton, VA
National Provider Identifier
1689854846
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
0101221402 Issued in VA
Legal business name
GUEDON MEDICAL CLINIC
Practice address
98 15TH St NW
Norton, VA 24273-1600
Phone
(540) 446-2278
Fax
(804) 545-3959
NPI assigned
Nov 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Authorized official

Name
Olivette Guedon, MDNPI 1497857312
Title
Owner
Phone
(540) 446-2278

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
Primary Care Clinic/Center 261QP2300X 0101221402 VA Primary

Addresses

Primary practice location

98 15TH St NW
Norton, VA 24273-1600

Mailing address

98 15TH St NW
Norton, VA 24273-1600

National Provider Directory

National Provider Directory

Locations

98 15th St NW
Norton, VA 24273
Phone (276) 325-0310

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": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1689854846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 15TH ST NW",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242731600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 15TH ST NW",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242731600",
            "telephone_number": "540-446-2278",
            "fax_number": "804-545-3959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUEDON MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "GUEDON",
        "authorized_official_first_name": "OLIVETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-446-2278",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "VA",
            "license": "0101221402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.