Andre Funderburk Guidry, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD200525 Issued in LA

Practice address

291 Liberty St
Houma, LA 70360-4423

Phone

(985) 868-7882

NPI assigned

Jan 12, 2007

Last updated

Apr 24, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Family Practice

Education

Louisiana State University School of Medicine in Shreveport, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Doctor Clinic ApmcGroup PAC ID 4587762976, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ochsner Home Health of Raceland Home health agency, Raceland, LA, CCN 197119
• Vitalcaring Group Home health agency, Houma, LA, CCN 197476
• Terrebonne General Medical Center - Parish Hospital, Houma, LA, CCN 190008
• Physicians Medical Center Hospital, Houma, LA, CCN 190241

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aguidry408154@direct.ochsner.org

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.

• Family Doctor Clinic Apmc

  • Family Medicine Physician
  • Houma, LA
  • NPI 1891894846
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bayou Home Care L.L.C.

  dba VitalCaring Group

  • Home Health Agency
  • Houma, LA
  • NPI 1144210485
  Care Compare affiliation
• Louisiana Homecare of Raceland, LLC

  dba Ochsner Home Health of Raceland

  • Home Health Agency
  • Raceland, LA
  • NPI 1356588024
  Care Compare affiliation
• Physicians Medical Center, LLC

  • General Acute Care Hospital
  • Houma, LA
  • NPI 1477509859
  Care Compare affiliation
• Terrebonne Parish Hospital Service District #1

  dba Terrebonne General Medical Center

  • General Acute Care Hospital
  • Houma, LA
  • NPI 1518924109
  Care Compare affiliation

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1780734475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 LIBERTY ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604423",
            "telephone_number": "985-868-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 LIBERTY ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604423",
            "telephone_number": "985-868-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIDRY",
        "first_name": "ANDRE",
        "middle_name": "FUNDERBURK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD200525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "4K610F991",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grounded Path Counseling, LLC
• George Dudley Grove, M.D.
• Kristal Bourgeois Guidroz, M.D.
• Michael Stephen Guidroz, LCSW
• Tabitha Kate Guidry-Turner, LMHC, LPC
• Angelle M Guidry, MASSAGE THERAPIST
• Brett B Guidry, LCSW
• Britney Angelle Guidry, NP
• Brittany Theresa Guidry, LCSW
• Bruce E Guidry, M.D.

• Family Medicine Physician in Houma, LA
• Providers in Houma, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.

Verify at the official NPI Registry.