Individual provider Active NPI

Shayne Michael Gue, M.D.

  • Emergency Medicine Physician
  • Orlando, FL
National Provider Identifier
1972982684
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME129308 Issued in FL
Practice address
7727 Lake Underhill Rd
Orlando, FL 32822
Phone
(304) 412-0129
NPI assigned
May 27, 2015
Last updated
Oct 22, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TRN#21393 FL
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X ME129308 FL Primary

Addresses

Primary practice location

7727 Lake Underhill Rd
Orlando, FL 32822

Mailing address

5525 Barma St
Orlando, FL 32807-2002
Phone (304) 412-0129

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180829001305 FL Practitioner - Emergency Medicine 1355691197 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
JC Edwards School of Medicine, Marshall University, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medical Associates of Tampa Bay LLCGroup PAC ID 3678746674, 84 clinicians
Observation Medical Group LLCGroup PAC ID 3779872627, 51 clinicians

Practice addresses (Care Compare)

3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
Phone (813) 870-4000

6901 Simmons Loop
Riverview, FL 33578-9498
Phone (813) 302-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRN#21393FLMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medical Associates of Tampa Bay, LLC Single Specialty CurrentSince Aug 29, 2024 Accepting new patients
Emergency Medicine Services of FL, LLC Single Specialty CurrentSince Apr 1, 2023 Accepting new patients
Observation Medical Group LLC Single Specialty CurrentSince Aug 29, 2024 Accepting new patients
Florida Emergency Physicians Kang and Associates MD LLC Single Specialty CurrentSince Jul 1, 2018 Accepting new patients
Observation Medical Group LLC Single Specialty CurrentSince Aug 29, 2024 Accepting new patients

Locations

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

1909 E Highway 50
Clermont, FL 34711
Phone (352) 717-3800

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

7727 Lk Under Hl
Orlando, FL 32822
Phone (407) 303-6413

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

4501 Bruce B Downs Blvd
Zephyrhills, FL 33544
Phone (813) 870-4000

Organizations & group practices 5

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 2

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": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1972982684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 BARMA ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328072002",
            "telephone_number": "304-412-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7727 LAKE UNDERHILL RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32822",
            "telephone_number": "304-412-0129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUE",
        "first_name": "SHAYNE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-27",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "TRN#21393",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME129308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.