Andrew Martin Guidry, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS0007068 Issued in FL

Practice address

19 Bald Eagle Dr Ste B
Marco Island, FL 34145-3580

Phone

(239) 394-4111

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Andrew Martin Guidry Other name

Medicare fee-for-service enrollment

Enrolled in FL

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

Internal Medicine

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Physicians Regional Medical Center - Pine Ridge Hospital, Naples, FL, CCN 100286

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Marco Medical Group Inc

  • Medical Specialty Clinic/Center
  • Marco Island, FL
  • NPI 1790931418

  Internal Medicine

  Medicare reassignment NPD Authorized official
• ER Quickcare PL

  • Urgent Care Clinic/Center
  • Naples, FL
  • NPI 1427265776
  Medicare reassignment NPD
• The Medical Centre of Lehigh Acres Inc

  • Primary Care Clinic/Center
  • Lehigh Acres, FL
  • NPI 1508179490
  Medicare reassignment NPD
• Mitchell Shaw P a

  • Medical Specialty Clinic/Center
  • Marco Island, FL
  • NPI 1326294042
  NPD (past)

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

• Naples Hma LLC

  • General Acute Care Hospital
  • Naples, FL
  • NPI 1215003348
  Care Compare affiliation
• Naples Hma LLC

  • General Acute Care Hospital
  • Naples, FL
  • NPI 1316992134
  Care Compare affiliation

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1811915168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BALD EAGLE DR STE B",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341453580",
            "telephone_number": "239-394-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 BALD EAGLE DR STE B",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341453580",
            "telephone_number": "239-394-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIDRY",
        "first_name": "ANDREW",
        "middle_name": "MARTIN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS0007068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD OF FLORIDA",
            "identifier": "57243",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "57243A",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "990003533",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREW",
            "last_name": "GUIDRY",
            "middle_name": "MARTIN",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Maliyah Jade Gomez
• Samantha Gonzalez
• Daniel W Gorski, MD
• Joy Govedich
• Kara Green
• Guillot Enterprises LLC
• Gulf Breeze Therapeutics LLC
• Haley Gunderson
• William Gutierrez, D.C.
• Darby Shannon Hallett

• Internal Medicine Physician in Marco Island, FL
• Providers in Marco Island, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.