Cesar Enrique Guerrero MD Faad PA

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

CESAR ENRIQUE GUERRERO MD FAAD PA

Doing business as

Grenada Dermatology

Practice address

80 S Main St
Grenada, MS 38901-2620

Phone

(662) 307-9030

Fax

(662) 307-9038

NPI assigned

Aug 17, 2021

Last updated

Sep 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Cesar E Guerrero, MDNPI 1720378169

Title

Ceo

Phone

(662) 307-9030

Specialties & licenses 4

Addresses

Other names 1

• Grenada Dermatology Doing business as

Medicare fee-for-service enrollment

Enrolled in TN, MS2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Cesar Enrique Guerrero, MD

  • Dermatology Physician
  • Grenada, MS
  • NPI 1720378169

  Single Specialty, TN

  Medicare reassignment NPD Authorized official
• Radoslaw Filip Bieniek, M.D.

  • Dermatopathology (Pathology) Physician
  • Greensboro, NC
  • NPI 1083853006
  NPD

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1942976378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 S MAIN ST",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389012620",
            "telephone_number": "662-307-9030",
            "fax_number": "662-307-9038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 S MAIN ST",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389012620",
            "telephone_number": "662-307-9030",
            "fax_number": "662-307-9038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CESAR ENRIQUE GUERRERO MD FAAD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-17",
        "last_updated": "2023-09-06",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "GUERRERO",
        "authorized_official_first_name": "CESAR",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-307-9030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grenada Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mickey Alan Cannon
• Cardiovascular Solutions of Mississippi, LLC
• Linda Gail Carter, AGNP-C
• Richard Dean Cash, RPH
• Diana Rochelle Cashaw, RN
• Blenda H Chambley, FNP
• Chaney's Pharmacy of Grenada, Inc. (Chaney's Home Infusion Vital Care)
• Chaneys Pharmacy of Grenada Inc (Dyre Kent Drug Co)
• Childrens Health Clinic
• Sherry B Chrestman, FNP-C

• MOHS-Micrographic Surgery Physician in Grenada, MS
• Providers in Grenada, MS by specialty
• MOHS-Micrographic Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.