NPIMap

Individual provider Active NPI

Paul Taylor Guidry, M.D.

  • Internal Medicine Physician
  • Shreveport, LA
National Provider Identifier
1700143237
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
300758 Issued in LA
Practice address
1500 Line Ave Ste 204
Shreveport, LA 71101-4648
Phone
(318) 300-4926
Fax
(318) 383-3951
NPI assigned
Apr 22, 2012
Last updated
Sep 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 300758 LA
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 300758 LA Primary

Addresses

Primary practice location

1500 Line Ave Ste 204
Shreveport, LA 71101-4648

Mailing address

1500 Line Ave Ste 204
Shreveport, LA 71101-4648
Phone (318) 300-4926

Other practice location 1

2400 Hospital Dr
Suite 130
Bossier City, LA 71111-2385
Phone (318) 212-7990

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.mettles.com/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160629001185 LA Practitioner - Internal MedicinePractitioner - Pediatric Medicine 0345488482 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Louisiana State University School of Medicine in Shreveport, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health of Louisiana LLCGroup PAC ID 4880731355, 140 clinicians
Sureaccess, MD, LLCGroup PAC ID 2567475130, 3 clinicians
Cornerstone Therapy and Balance Center, LLCGroup PAC ID 0345397899, 98 clinicians

Practice addresses (Care Compare)

2900 Westfork Dr
Suite 401
Baton Rouge, LA 70827-0004
Phone (877) 260-4747

8525 Line Ave
Suite a
Shreveport, LA 71106-6105
Phone (318) 300-4926

8961 Youree Dr
Shreveport, LA 71115-3001
Phone (318) 671-8772

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
300758LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Pass by Luraguiz MD Current Accepting new patients
Curana Health of Louisiana LLC CurrentSince Oct 1, 2022 Accepting new patients
Guidco Medical, LLC Hospitalist CurrentSince Feb 1, 2017 Accepting new patients
Sureaccess, MD, LLC Internal Medicine CurrentSince Nov 1, 2022 Accepting new patients
Lifepath Hospice Care Services, LLC Past Accepting new patients
Southern Oaks Nursing & Rehabilitation Center, LLC Past Accepting new patients
PMG Opco-Washington LLC Past Accepting new patients
Garden Park Nursing & Rehabilitation Center, LLC Past Accepting new patients
PMG Opco-Shreveport LLC Past Accepting new patients
Cypress Point Nursing & Rehabilitation Center, LLC Past Accepting new patients

Locations

2900 Westfork Dr
Ste 401
Baton Rouge, LA 70827
Phone (225) 953-0895

2400 Hospital Dr
Ste 130
Bossier City, LA 71111
Phone (318) 212-7990

4900 Medical Dr
Bossier City, LA 71112
Phone (318) 747-9500

2614 Jefferson Hwy
New Orleans, LA 70121
Phone (504) 291-5100

1500 Line Ave
Ste 204
Shreveport, LA 71101
Phone (318) 629-5001

8525 Line Ave
Ste A
Shreveport, LA 71106
Phone (318) 300-4926

100 Kingston Rd
Sulphur, LA 70663
Phone (318) 446-1667

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: paul.guidry@92173475643396.direct.elationemr.com

Organizations & group practices 12

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1335052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1700143237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 LINE AVE STE 204",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014648",
            "telephone_number": "318-300-4926",
            "fax_number": "318-383-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 LINE AVE STE 204",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014648",
            "telephone_number": "318-300-4926",
            "fax_number": "318-383-3951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Hospital Dr",
            "address_2": "Suite 130",
            "address_purpose": "LOCATION",
            "city": "Bossier City",
            "state": "LA",
            "postal_code": "711112385",
            "country_code": "US",
            "telephone_number": "318-212-7990",
            "fax_number": "318-212-7995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUIDRY",
        "first_name": "PAUL",
        "middle_name": "TAYLOR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-22",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "LA",
            "license": "300758",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "300758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.mettles.com/",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.6037.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "10320 Little Patuxent Pkwy Ste 233-02",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210443313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.