Individual provider Active NPI

Louis Guerrant

  • Physician Assistant
  • Edmond, OK
National Provider Identifier
1700424900
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3150 Issued in OK
Practice address
2000 E 15TH St Ste 400a
Edmond, OK 73013-6673
Phone
(405) 341-1697
NPI assigned
Dec 18, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OK
Physician Assistant 363A00000X 3150 OK Primary

Addresses

Primary practice location

2000 E 15TH St Ste 400a
Edmond, OK 73013-6673

Mailing address

2104 Bent Twig Rd
Edmond, OK 73013-6665
Phone (808) 226-3074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250610004225 OK Practitioner - Physician Assistant 5496265209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Variety Care, Inc.Group PAC ID 1557260007, 101 clinicians

Practice addresses (Care Compare)

721 W Britton Rd
Variety Care
Oklahoma City, OK 73114-2909
Phone (405) 632-6688

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3150OKMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Variety Care, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Variety Care, Inc. CurrentSince Apr 1, 2025 Accepting new patients

Locations

2000 E 15th St
Ste 400A
Edmond, OK 73013
Phone (405) 341-1697

3000 N Grand Blvd
Oklahoma City, OK 73107
Phone 405632668810209

721 W Britton Rd
Oklahoma City, OK 73114
Phone (405) 607-5757

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1700424900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 BENT TWIG RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730136665",
            "telephone_number": "808-226-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E 15TH ST STE 400A",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730136673",
            "telephone_number": "405-341-1697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRANT",
        "first_name": "LOUIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-18",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "3150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.