Individual provider Active NPI

Cynthia Guerue, M.D.

  • Pediatrics Physician
  • Scottsbluff, NE
National Provider Identifier
1740295435
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
22277 Issued in NE
Practice address
2 W 42ND St
Suite 1200
Scottsbluff, NE 69361-0617
Phone
(308) 630-1811
Fax
(308) 630-1838
NPI assigned
Jul 30, 2006
Last updated
Mar 9, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 22277 NE Primary

Addresses

Primary practice location

2 W 42ND St
Suite 1200
Scottsbluff, NE 69361-0617

Mailing address

2 W 42ND St
Suite 1200
Scottsbluff, NE 69361-0617
Phone (308) 630-1811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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

Enrollment IDStateProvider typePAC IDDetails
I20080930000738 NE Practitioner - Pediatric Medicine 0749357937 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional West Physicians Clinic Pediatrics CurrentSince Jul 19, 2010 Accepting new patients
Regional West Medical Center Past Accepting new patients
Panhandle Health Services Pediatrics PastSince Jul 19, 2010 Accepting new patients

Locations

2 W 42nd St
#1200
Scottsbluff, NE 69361
Phone (308) 630-1811

2 W 42nd St
Ste 1200
Scottsbluff, NE 69361
Phone (308) 630-1478

3911 Avenue B
Ste G200
Scottsbluff, NE 69361
Phone (308) 630-1355

2000 Campbell Dr
Torrington, WY 82240
Phone (307) 532-4181

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331251200000",
    "number": "1740295435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W 42ND ST",
            "address_2": "SUITE 1200",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693610617",
            "telephone_number": "308-630-1811",
            "fax_number": "308-630-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W 42ND ST",
            "address_2": "SUITE 1200",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693610617",
            "telephone_number": "308-630-1811",
            "fax_number": "308-630-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERUE",
        "first_name": "CYNTHIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2012-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NE",
            "license": "22277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsbluff, NE

Sources for this page

Verify at the official NPI Registry.