Guat Sy Jr MD PC

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

4301040071 Issued in MI

Legal business name

GUAT SY JR MD PC

Practice address

17000 Hubbard Dr
Ste 700
Dearborn, MI 48126-4205

Phone

(313) 271-2990

Fax

(313) 271-1698

NPI assigned

Aug 12, 2005

Last updated

Aug 7, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Guat Sia Sy Jr., MDNPI 1114929791

Title

President

Phone

(313) 271-2990

Specialties & licenses 2

Addresses

Other identifiers 7

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Guat Sia Sy Jr., MD

  • Colon & Rectal Surgery Physician
  • Dearborn, MI
  • NPI 1114929791
  Authorized official Same address or phone

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249603200000",
    "number": "1780686469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 HUBBARD DR",
            "address_2": "STE 700",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264205",
            "telephone_number": "313-271-2990",
            "fax_number": "313-271-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 HUBBARD DR",
            "address_2": "STE 700",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264205",
            "telephone_number": "313-271-2990",
            "fax_number": "313-271-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUAT SY JR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-12",
        "last_updated": "2009-08-07",
        "status": "A",
        "authorized_official_last_name": "SY",
        "authorized_official_first_name": "GUAT",
        "authorized_official_middle_name": "SIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-271-2990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301040071",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "MI",
            "license": "4301040071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN GROUP",
            "identifier": "020H237340",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "020H237340",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4079900",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DP0095",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2929938-10",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780686469",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "B45647",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Group Vision Center, Inc. (Midwestern Vision Center)
• Group Vision Center, Inc. (Midwestern Vision Center)
• Grow Together Therapy, PLLC
• Grow Your Mind Therapy
• Hajer N Gsouda I
• Cynthia Makayla Guelette
• Heather L Guernsey, SLP
• Kelcey Goodwin Guerriero
• Brianna Nicole Guido
• Jeffrey Paul Guina, M.D.

• Colon & Rectal Surgery Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Colon & Rectal Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; 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.