Blake Guillory II, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

UO5773 Issued in FL

Practice address

4300 Alton Rd
Miami Beach, FL 33140-2948

Phone

(305) 676-6414

NPI assigned

Jul 7, 2017

Sex

Male

Sole proprietor

Yes

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.

• Emerald Coast Management Solutions LLC

  • Emergency Medicine Physician
  • Marianna, FL
  • NPI 1659117430

  Emergency Medicine, FL

  Medicare reassignment Care Compare group NPD
• Paragon Emergency Services LLC

  • Emergency Medicine Physician
  • Winter Haven, FL
  • NPI 1912101650

  Emergency Medicine, FL

  Medicare reassignment Care Compare group NPD
• Integrated Emergency Medicine Specialists LLC

  • Emergency Medicine Physician
  • Naples, FL
  • NPI 1174991632

  Emergency Medicine, FL

  Medicare reassignment NPD
• Lake Oliver Emergency Group, LLC

  • Emergency Medicine Physician
  • Tallahassee, FL
  • NPI 1013675016

  Emergency Medicine, FL

  Medicare reassignment NPD
• Lake Oliver Emergency Group, LLC

  • Emergency Medicine Physician
  • Tallahassee, FL
  • NPI 1457012940

  Emergency Medicine

  NPD
• Lake Oliver Emergency Group, LLC

  • Emergency Medicine Physician
  • Tallahassee, FL
  • NPI 1548921034

  Emergency Medicine

  NPD

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

• Jackson County Hospital District

  • General Acute Care Hospital
  • Marianna, FL
  • NPI 1538108725

  Hospital

  Care Compare affiliation
• Tallahassee Medical Center Inc

  • General Acute Care Hospital
  • Tallahassee, FL
  • NPI 1790732303

  Hospital

  Care Compare affiliation
• West Florida Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Pensacola, FL
  • NPI 1639116726

  Hospital

  Care Compare affiliation

Specialty

Emergency Medicine

Education

Lake Erie College of Osteopathic Medicine, Erie, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emerald Coast Management Solutions LLC 17 clinicians

Paragon Emergency Services LLC 401 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Capital Hospital Hospital, Tallahassee, FL, CCN 100254
• Jackson Hospital Hospital, Marianna, FL, CCN 100142
• HCA Florida West Hospital Hospital, Pensacola, FL, CCN 100231

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 7, 2017.

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499385600000",
    "number": "1972025310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5817 SENEGAL CT",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 ALTON RD",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402948",
            "telephone_number": "305-676-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLORY",
        "first_name": "BLAKE",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-07",
        "last_updated": "2017-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "UO5773",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "UO5773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yoel O Guerra
• William Joshua Guerrero, MSN, FNP-C
• Cosette D Guevara, LMT
• Gilad Shalom Guez, MD
• Guillermo L Font MD PA
• Diego Gumucio
• Ramiro M Gumucio, M.D.
• Jeffrey T. Guterman, PH.D.
• Valeria Gutierrez de Pineres, MD
• Aliette Gutierrez, PA-C

• All providers in Miami Beach, FL
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2017; 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.
• 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.