David Hongrong Guan, M.D.

Key facts

NPI

1891772208

Entity type

Individual (NPI type 1)

Primary specialty

Pulmonary Disease Physician 207RP1001X

License

35362 (TN)

Practice address

1814 McCallie Ave
Chattanooga, TN 37404-3025

Phone

(423) 208-9030

Fax

(800) 875-1815

NPI assigned

Dec 28, 2005

Sex

Male

Sole proprietor

No

Organizations & group practices 9

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.

• Center for Lung and Sleep Disorders Sleep Disorder Diagnostic Clinic/Center · Chattanooga, TN · NPI 1083700454
  Medicare reassignment Authorized official TN
• Southeastern Physician Services PC Hospitalist Physician · Oak Ridge, TN · NPI 1083835441
  Medicare reassignment Care Compare group TN
• Prohealth Medical Group Inc. Pediatrics Physician · Waukesha, WI · NPI 1356322440
  Medicare reassignment NPD WI
• Advantage Health Saint Mary'S Medical Group Orthopaedic Surgery Physician · Byron Center, MI · NPI 1003515008
  NPD
• Advantage Health Saint Mary'S Medical Group Multi-Specialty Clinic/Center · Grand Rapids, MI · NPI 1952340911
  NPD
• Advantage Health/Saint Mary'S Medical Group Multi-Specialty Clinic/Center · Grand Rapids, MI · NPI 1376862151
  NPD
• Prohealth Medical Group Inc Family Medicine Physician · Pewaukee, WI · NPI 1396887709
  NPD
• Galen Medical Group, PC Internal Medicine Physician · Hixson, TN · NPI 1346250057
  NPD (past)
• Ut Physicians Inc Internal Medicine Physician · Chattanooga, TN · NPI 1770575490
  NPD (past)

Hospital & facility affiliations 1

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

• Metro Knoxville Hma LLC General Acute Care Hospital · Powell, TN · NPI 1043292899
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Pulmonary Disease
Also: Critical Care (Intensivists)

Education

Other, 1984

Medicare assignment

May accept Medicare assignment

Group practices

Southeastern Physician Services PC (591 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Physicians Regional Medical Center Hospital · Powell, TN · CCN 440120

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in TN, WI

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dguan4000820@direct.trinity-health.org
• Direct secure messaging: dr_david_guan@yourcarecommunity.org

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 7, 2023.

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1891772208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 MCCALLIE AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043025",
            "telephone_number": "423-208-9030",
            "fax_number": "800-875-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 MCCALLIE AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043025",
            "telephone_number": "423-208-9030",
            "fax_number": "800-875-1815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "246 Pleasant St.",
            "address_2": "Memorial Building, West, Ground Floor",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033012548",
            "country_code": "US",
            "telephone_number": "603-224-9661",
            "fax_number": "603-227-7528",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3327 Chamblee Dunwoody Rd",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303412816",
            "country_code": "US",
            "telephone_number": "423-208-9030",
            "fax_number": "800-875-1815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1702 W Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "TN",
            "postal_code": "373034033",
            "country_code": "US",
            "telephone_number": "423-208-9030",
            "fax_number": "800-875-1815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1332 Market St",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "TN",
            "postal_code": "373211266",
            "country_code": "US",
            "telephone_number": "423-208-9030",
            "fax_number": "800-875-1815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUAN",
        "first_name": "DAVID",
        "middle_name": "HONGRONG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "GA",
            "license": "056561",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "WI",
            "license": "3065",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NH",
            "license": "22557",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WI",
            "license": "3065",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TN",
            "license": "35362",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "35362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891772208",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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