Organization Active NPI

Guignard Anesthesia Services PLLC

  • Anesthesiology Physician
  • Prosper, TX
National Provider Identifier
1891225330
Registry record updated Jun 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
GUIGNARD ANESTHESIA SERVICES PLLC
Practice address
4261 E University Dr Ste 30177
Prosper, TX 75078-9152
Phone
(817) 516-8811
NPI assigned
Jun 18, 2017
Last updated
Jun 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2017

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

Authorized official

Name
Juli Smith, CPC
Title
Credentialing Coordinator
Phone
(817) 330-1102

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X NU

Addresses

Primary practice location

4261 E University Dr Ste 30177
Prosper, TX 75078-9152

Mailing address

700 Highlander Blvd Ste 415
Arlington, TX 76015-4346
Phone (817) 330-1102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170803001606 TX Part B Supplier - Clinic/Group Practice 2769753185 Receives reassigned benefits from 6 practitioners
Practice locations: McKinney, TX; Plano, TX; Richardson, TX; Sachse, TX; Southlake, TX; Dallas, TX; Trophy Club, TX; Lancaster, TX…

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497744000000",
    "number": "1891225330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 HIGHLANDER BLVD STE 415",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760154346",
            "telephone_number": "817-330-1102",
            "fax_number": "817-516-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4261 E UNIVERSITY DR STE 30177",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750789152",
            "telephone_number": "817-516-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIGNARD ANESTHESIA SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-18",
        "last_updated": "2017-06-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JULI",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "817-330-1102",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prosper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.