Johnny Dimas Guzman, DO, MS

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS16879 Issued in FL

Practice address

2307 N Andrews Ave
Wilton Manors, FL 33311-3924

Phone

(855) 955-5428

Fax

(844) 389-0835

NPI assigned

Jun 4, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, FL2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine, Master of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: johnny.guzman@217526021193732.direct.elationemr.com

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.

• Equality Project

  • Infectious Disease Physician
  • Henderson, NV
  • NPI 1073270773

  FL

  Medicare reassignment NPD
• Unity Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Washington, DC
  • NPI 1093894172
  Medicare reassignment NPD
• Unity Health Care Inc.

  • Community/Retail Pharmacy
  • Washington, DC
  • NPI 1346014412
  NPD
• Cloud Health Medical Group, P.a.

  • Internal Medicine Physician
  • White Plains, NY
  • NPI 1528744935
  NPD (past)
• Equality Project

  • Infectious Disease Physician
  • Henderson, NV
  • NPI 1669350229
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Gibson Community Hospital Association

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)
• Solace Health Medical Group Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Redwood City, CA
  • NPI 1801669924
  NPD (past)

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1942647656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 N ANDREWS AVE",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333113924",
            "telephone_number": "855-955-5428",
            "fax_number": "844-389-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 N ANDREWS AVE",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333113924",
            "telephone_number": "855-955-5428",
            "fax_number": "844-389-0835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 12th St SE",
            "address_2": "Suite 120",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200033722",
            "country_code": "US",
            "telephone_number": "202-715-7900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "JOHNNY",
        "middle_name": "DIMAS",
        "name_prefix": "Dr.",
        "credential": "DO, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-04",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "DO034618",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS16879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonard Joseph Guidone, DC
• Jacqueline Dell Gunn, O.D.
• Janet Ann Gunn
• Rick Gunsallus, LMHC
• Odin Gutierrez, A.P.
• Manuel Guzman
• Halcyon Health
• James Haley
• Jesse Seth Hammel, D.O.M.
• Katalin Hanana, MS

• Family Medicine Physician in Wilton Manors, FL
• Providers in Wilton Manors, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.