Individual provider Active NPI

Lawrence Stephen Guinney, MD

  • Pediatric Orthopaedic Surgery Physician
  • Santa Rosa, CA
National Provider Identifier
1689894057
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
G19069 Issued in CA
Practice address
4730 Hoen Ave
Santa Rosa, CA 95405-7868
Phone
(707) 528-1616
Fax
(707) 528-1516
NPI assigned
Apr 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Orthopaedic Surgery Physician 207XP3100X G19069 CA Primary

Addresses

Primary practice location

4730 Hoen Ave
Santa Rosa, CA 95405-7868

Mailing address

4730 Hoen Ave
Santa Rosa, CA 95405-7868
Phone (707) 528-1616

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G19069CAMDPediatric Orthopaedic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689894057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 HOEN AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057868",
            "telephone_number": "707-528-1616",
            "fax_number": "707-528-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 HOEN AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057868",
            "telephone_number": "707-528-1616",
            "fax_number": "707-528-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUINNEY",
        "first_name": "LAWRENCE",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "CA",
            "license": "G19069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.