George Nick Guzzardo Jr., M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

13928 Issued in LA

Practice address

180 W Esplanade Ave
Emergency Department
Kenner, LA 70065-2467

Phone

(504) 464-8015

Fax

(504) 464-8538

NPI assigned

Aug 23, 2005

Last updated

Jul 26, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Ochsner Medical Center - Kenner, L.L.C.

  • General Acute Care Hospital
  • Kenner, LA
  • NPI 1710097936
  NPD (past)
• Suleman Primary Care LLC

  • Primary Care Clinic/Center
  • Kenner, LA
  • NPI 1538739016
  NPD (past)

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374796800000",
    "number": "1760474084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 CHATEAU LATOUR DR",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652021",
            "telephone_number": "504-469-1201",
            "fax_number": "504-469-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 W ESPLANADE AVE",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652467",
            "telephone_number": "504-464-8015",
            "fax_number": "504-464-8538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZZARDO",
        "first_name": "GEORGE",
        "middle_name": "NICK",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2013-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "13928",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "13928",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1188654",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Ray Guillory
• Rhonda A Guinot, LCSW
• Gulf South Medical & Surgical Institute
• Gulf States Long Term Acute Care of New Orleans, LLC (Gulf States LTAC of New Orleans)
• Brittany Salemi Gurley, O.T.
• Habilitative Program Management, Inc (H.P.M.Inc)
• Isaac Hallak, PHARMACIST
• Nadia Halum, PHARMD.
• Hassan Hamide, PHARMD
• Michael S Hanemann, MD

• Emergency Medicine Physician in Kenner, LA
• Providers in Kenner, LA by specialty
• Emergency Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.