Stephen Paul Guss, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

01042515 Issued in IN

Practice address

1421 Malabar Rd NE
Suite B
Palm Bay, FL 32907-2576

Phone

(321) 434-8080

Fax

(321) 434-8137

NPI assigned

Jun 5, 2006

Sex

Male

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Saint Joseph Regional Medical Center, Inc.

  • Family Medicine Physician
  • Mishawaka, IN
  • NPI 1467406074
  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429833600000",
    "number": "1891734067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 GATEWAY DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012607",
            "telephone_number": "321-725-4500",
            "fax_number": "321-951-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 MALABAR RD NE",
            "address_2": "SUITE B",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329072576",
            "telephone_number": "321-434-8080",
            "fax_number": "321-434-8137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSS",
        "first_name": "STEPHEN",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2015-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IN",
            "license": "01042515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "370020659",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100389510A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Herson Ivan Guerrero Pena, TCM CASE MANAGER FCB
• Guiding Light Senior Living 2 Inc.
• Guiding Light Senior Living Inc
• Cheyenne Leigh Gulk
• Nitesh Gupta
• Armando Gutierrez
• Kathya Guzman
• Nancy Haas, CRNA
• Susan Ellen Haggerty, M.S.P.T., A.T.,C.
• Melissa Hall, APRN

• Urology Physician in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; 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.