DAVID WAYNE GUIDRY MD NPI 1912116674

NPI Information

NPI: 1912116674
Provider Name: DAVID WAYNE GUIDRY, MD
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

Organization: INTERMOUNTAIN HEALTHCARE SERVICES, INC

PECOS Registration: Yes

Address:
5121 S COTTONWOOD ST FL 6
MURRAY, UT
ZIP 84107
Phone: (801) 442-4536
Get Directions

David Wayne Guidry, MD is a pulmonary disease internal medicine in Murray, UT with 18 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. David Wayne Guidry, MD NPI is 1912116674. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year:2006

The provider's business location address is:

5121 S COTTONWOOD ST FL 6
MURRAY, UT
ZIP 84107-701
Phone: (801) 442-4536

The NPI 1912116674 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/21/2007 and was last updated on 10/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		205351	LOUISIANA	No
2	207RC0200X	Internal Medicine	Critical Care Medicine	205351	LOUISIANA	No
3	207RP1001X	Internal Medicine	Pulmonary Disease	205351	LOUISIANA	No
4	207RP1001X	Internal Medicine	Pulmonary Disease	7223998-1205	UTAH	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2314963	MEDICAID	LOUISIANA
2	BP1-0026178	OTHER		INSTITUTIONAL PERMIT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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