Individual provider Active NPI

George G Guidry, MD

  • Pulmonary Disease Physician
  • Lafayette, LA
National Provider Identifier
1902898885
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
018477 Issued in LA
Practice address
155 Hospital Dr
Ste 206
Lafayette, LA 70503-2852
Phone
(337) 234-3204
Fax
(337) 234-3599
NPI assigned
Aug 17, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 018477 LA Primary

Addresses

Primary practice location

155 Hospital Dr
Ste 206
Lafayette, LA 70503-2852

Mailing address

155 Hospital Dr
Ste 206
Lafayette, LA 70503-2852
Phone (337) 234-3204

Other identifiers 1

IdentifierTypeStateIssuer
1398489MedicaidLA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100301000656 LA Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 2769527944 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Louisiana State University School of Medicine in Shreveport, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
GBR, LLCGroup PAC ID 8123206299, 15 clinicians

Practice addresses (Care Compare)

155 Hospital Dr
Suite 101
Lafayette, LA 70503-2852
Phone (337) 234-3204

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
GBR, LLC Pulmonary Disease CurrentSince Apr 23, 2011 Accepting new patients
University Hospital & Clinics Inc CurrentSince Jul 1, 2015 Accepting new patients
University Hospital & Clinics, Inc. CurrentSince Jul 1, 2015 Accepting new patients

Locations

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

155 Hospital Dr
Ste 206
Lafayette, LA 70503
Phone (318) 234-3204

155 Hospital Dr
Ste 101
Lafayette, LA 70503
Phone (337) 234-3204

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259539200000",
    "number": "1902898885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 HOSPITAL DR",
            "address_2": "STE 206",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032852",
            "telephone_number": "337-234-3204",
            "fax_number": "337-234-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 HOSPITAL DR",
            "address_2": "STE 206",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032852",
            "telephone_number": "337-234-3204",
            "fax_number": "337-234-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIDRY",
        "first_name": "GEORGE",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2009-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "LA",
            "license": "018477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1398489",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.