Harlan Mark Guidry, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H4366 Issued in TX

Practice address

2000 Texas Ave
Suite 200
Texas City, TX 77590-8470

Phone

(409) 949-3406

Fax

(409) 949-3492

NPI assigned

Aug 8, 2006

Last updated

Jul 10, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Texas Medical Branch at Galveston, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Outpatient Medical Center, Inc.Group PAC ID 5597651794, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: harlan.guidry.1@29100.direct.athenahealth.com

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Outpatient Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Tallulah, LA
  • NPI 1750311064

  Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership
• Outpatient Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Natchitoches, LA
  • NPI 1871523266

  Corporate Director

  CMS ownership

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.

• Outpatient Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Natchitoches, LA
  • NPI 1871523266

  Family Medicine

  Medicare reassignment Care Compare group NPD
• David Raines Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Shreveport, LA
  • NPI 1215933254
  Medicare reassignment NPD
• David Raines Community Health Center, Inc

  dba David Raines Community Health Center- Mobile Medical Unit #3

  • Federally Qualified Health Center (FQHC)
  • Shreveport, LA
  • NPI 1205721487
  NPD
• David Raines Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Gilliam, LA
  • NPI 1598761496
  NPD
• Coastal Health & Wellness

  • Federally Qualified Health Center (FQHC)
  • Texas City, TX
  • NPI 1619667565
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1700896107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 OAK ST",
            "address_2": "P.O. BOX 939",
            "city": "LA MARQUE",
            "state": "TX",
            "postal_code": "775685925",
            "telephone_number": "409-949-3406",
            "fax_number": "409-949-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 TEXAS AVE",
            "address_2": "SUITE 200",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775908470",
            "telephone_number": "409-949-3406",
            "fax_number": "409-949-3492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIDRY",
        "first_name": "HARLAN",
        "middle_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H4366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grey Skies LLC (Grey Skies Connect)
• Krezandra Griffin
• Serafina Alexandra Grimes
• Kimberly Vandermark Grimsley
• Alexus Guajardo
• Lashai Guidry, LMT
• Gulf Coast Oral & Maxillofacial Surgery
• Gulf Coast Pathology Program PLLC
• Gulf Periodontics & Implants (Galleria Perio & Implants)
• Audrey Lynn Gutierrez, RN

• Family Medicine Physician in Texas City, TX
• Providers in Texas City, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.