Edisson Guaman

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9110396 Issued in FL

Practice address

12373 Colony Preserve Dr
Boynton Beach, FL 33436-5807

Phone

(561) 617-0686

NPI assigned

Mar 14, 2016

Sex

Male

Sole proprietor

Yes

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 FL

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

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Delray Medical Center Hospital, Delray Beach, FL, CCN 100258
• Bethesda Hospital East Hospital, Boynton Beach, FL, CCN 100002

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• 4A Surgical Services, LLC

  • Orthopaedic Surgery Physician
  • Boynton Beach, FL
  • NPI 1073299079
  Medicare reassignment Authorized official
• South Palm Orthopedics P a

  • Orthopaedic Surgery Physician
  • Delray Beach, FL
  • NPI 1619992120
  Medicare reassignment

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

• Bethesda Hospital, Inc.

  • General Acute Care Hospital
  • Boynton Beach, FL
  • NPI 1417952748
  Care Compare affiliation
• Delray Medical Center, Inc.

  • General Acute Care Hospital
  • Delray Beach, FL
  • NPI 1326078288
  Care Compare affiliation

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1710348024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12373 COLONY PRESERVE DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334365807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12373 COLONY PRESERVE DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334365807",
            "telephone_number": "561-617-0686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUAMAN",
        "first_name": "EDISSON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-14",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9110396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brent Grover
• Alyssa Grubb, FNP-BC
• Carolina Grullon
• Thais Grzesik
• Lydia Gu
• Adelaida Guanche
• Gerardo A Guarch, MD
• Guardian Angels Homemaker Companion Services
• Guardian Angels Homemaker Companion Services,Inc
• Guardian Health Care Services Inc.

• Physician Assistant in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.