Active NPI
John Benjamin Guidry, MD
- Emergency Medicine Physician
- Hammond, LA
National Provider Identifier
1770515736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD.014158
- Practice address
- 15790 Paul Vega MD Dr
Hammond, LA 70403-1434 - Phone
- (985) 230-1682
- Fax
- (985) 230-1617
- NPI assigned
- Jul 7, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD.014158 | LA | Primary |
Addresses
Primary practice location
15790 Paul Vega MD Dr
Hammond, LA 70403-1434
Mailing address
PO Box 2668
Hammond, LA 70404-2668
Phone (985) 230-1332
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1302911 | Medicaid | LA | |
| 930050621 | Other | RR MEDICARE NUMBER | |
| 04425361 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Oaks Medical Center, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Medical Laboratory
- Hammond, LA
- NPI 1619303773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386633600000",
"number": "1770515736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2668",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704042668",
"telephone_number": "985-230-1332",
"fax_number": "985-230-1334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15790 PAUL VEGA MD DR",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704031434",
"telephone_number": "985-230-1682",
"fax_number": "985-230-1617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUIDRY",
"first_name": "JOHN",
"middle_name": "BENJAMIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2013-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "LA",
"license": "MD.014158",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1302911",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE NUMBER",
"identifier": "930050621",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04425361",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.