Noli Guinigundo, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

07015R Issued in LA

Practice address

706 Ross St
Oak Grove, LA 71263-9798

Phone

(318) 428-3237

Fax

(318) 428-6180

NPI assigned

Mar 23, 2006

Last updated

Feb 25, 2008By 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 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

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.

• West Carroll Health Systems LLC

  • General Acute Care Hospital
  • Oak Grove, LA
  • NPI 1386700888
  Medicare reassignment
• West Carroll Health Systems LLC

  dba West Carroll Medical Clinic

  • Rural Health Clinic/Center
  • Oak Grove, LA
  • NPI 1780667766
  NPD (past)

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203897600000",
    "number": "1841259264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 ROSS ST",
            "city": "OAK GROVE",
            "state": "LA",
            "postal_code": "712639798",
            "telephone_number": "318-428-3237",
            "fax_number": "318-428-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 ROSS ST",
            "city": "OAK GROVE",
            "state": "LA",
            "postal_code": "712639798",
            "telephone_number": "318-428-3237",
            "fax_number": "318-428-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUINIGUNDO",
        "first_name": "NOLI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2008-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "07015R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1367176",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Callie Dartlon Freeland, LCOTA
• Gordon Smith Pharmacy (The Drugstore)
• Green Gables Therapy LLC
• Kristina Marie Green, APRN NP-C
• Brandi Griswould
• Sonya Hagan, COTA
• Beverly Hamilton
• Winnita Hampton
• Kelly Eaton Harper, LCSW
• Intensive Care Experts Health Network LLC

• Family Medicine Physician in Oak Grove, LA
• Providers in Oak Grove, 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 Feb 25, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.