Active NPI
Mark Vincent Guido, M.D,
- Endocrinology, Diabetes & Metabolism Physician
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 2016-01628
- Practice address
- 755 Highland Oaks Dr Ste 201
Winston Salem, NC 27103 - Phone
- (336) 765-0020
- NPI assigned
- Jun 3, 2013
- Last updated
- Oct 26, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 2016-01628 | NC | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 2016-01628 | NC | Primary |
Addresses
Primary practice location
755 Highland Oaks Dr Ste 201
Winston Salem, NC 27103
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-0567
Other practice location 1
6331 Carmel Rd Ste 102
Charlotte, NC 28226-8246
Phone (704) 384-0567
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mguido654604@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- West Virginia University School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
755 Highland Oaks Dr
Suite 201
Winston Salem, NC 27103-7106
Phone (336) 765-0020
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016-01628 | NC | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| Forsyth Memorial Hospital Inc | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc | Past | Accepting new patients |
Locations
6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473
291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181
903 Randolph St
Thomasville, NC 27360
Phone (336) 475-7163
903 Randolph St
Ste 1
Thomasville, NC 27360
Phone (336) 475-7163
755 Highland Oaks Dr
Ste 201
Winston Salem, NC 27103
Phone (336) 765-0020
Interoperability endpoints
- mguido654604@direct.novanthealth.org
Organizations & group practices 4
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.
-
dba NH Forsyth Primary Care Clinics
- Family Medicine Physician
- Winston Salem, NC
- NPI 1104548874
-
dba Novant Health Osteoporosis Clinic
- Internal Medicine Physician
- Kernersville, NC
- NPI 1538586284
-
dba Novant Health Heart & Vascular Institute - Frontis Plaza
- Cardiovascular Disease Physician
- Winston Salem, NC
- NPI 1932935475
-
dba West Forsyth Internal Medicine & Pediatrics
- Internal Medicine Physician
- Clemmons, NC
- NPI 1891828562
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Novant Health Forsyth Medical Center
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1447200233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1740627496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "704-384-0567",
"fax_number": "704-384-0568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 HIGHLAND OAKS DR STE 201",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "27103",
"telephone_number": "336-765-0020"
}
],
"practiceLocations": [
{
"address_1": "6331 Carmel Rd Ste 102",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282268246",
"country_code": "US",
"telephone_number": "704-384-0567",
"fax_number": "704-384-0568",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUIDO",
"first_name": "MARK",
"middle_name": "VINCENT",
"name_prefix": "Dr.",
"credential": "M.D,",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-03",
"last_updated": "2020-10-26",
"certification_date": "2020-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": "2016-01628",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NC",
"license": "2016-01628",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mguido654604@direct.novanthealth.org",
"affiliation": "N",
"address_1": "6331 Carmel Rd Ste 102",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282268246",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.