Mary Teju Guest, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

055755 Issued in GA

Practice address

1100 Wilford Hall Loop BLDG 4554
Jbsa Lackland, TX 78236-5638

Phone

(210) 292-6002

NPI assigned

Jun 2, 2006

Last updated

Aug 24, 2022By the provider in NPPES

Sex

Female

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 OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Heritage Family Practice, LLC

  • Family Medicine Physician
  • McDonough, GA
  • NPI 1912933615
  NPD (past) Authorized official
• Eena Comprehensive Neurology and Sleep Center Inc

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Boyton Beach, FL
  • NPI 1710323910
  NPD (past)
• Heritage Medical Group, PC

  • Internal Medicine Physician
  • McDonough, GA
  • NPI 1356526305

  Family Medicine

  NPD (past)
• Palm Beach Medical Clinic LLC

  • Internal Medicine Physician
  • West Palm Beach, FL
  • NPI 1710183744
  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1740228899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WILFORD HALL LOOP BLDG 4554",
            "city": "JBSA LACKLAND",
            "state": "TX",
            "postal_code": "782365638",
            "telephone_number": "210-292-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WILFORD HALL LOOP BLDG 4554",
            "city": "JBSA LACKLAND",
            "state": "TX",
            "postal_code": "782365638",
            "telephone_number": "210-292-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEST",
        "first_name": "MARY",
        "middle_name": "TEJU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "055755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Greenwell, MD
• Jerry George Greeson, MED, LAT, ATC
• Bryce M Griffin, DPT
• William Arthur Grosdidier
• Jordan Grove, MD
• Daniel K Gullekson, OD
• Alejandra Vraanica Gutierrez
• Melissa Erin Gutierrez
• Andrew Mark Hale, D.M.D
• Hali Rashelle Hall, DMD

• Family Medicine Physician in Jbsa Lackland, TX
• Providers in Jbsa Lackland, 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 Aug 24, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.