MICHAEL B. GUILLORY, MD., P.A. (NPI# 1619084258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619084258 |
| Entity Type | Organization |
| Organization Name | MICHAEL B. GUILLORY, MD., P.A. |
| Practice Address |
3209 N 4th St Suite 100 Longview TX 75605-5145 |
| Practice Telephone | 9037574662 |
| Mailing Telephone | 9037574662 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2010-07-07 |
| Authorized Official Name | MICHAEL B GUILLORY (PRESIDENT) |
| Authorized Official Telephone | 9037574662 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | F2271 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 089523702 | 05 | |
| TX | BLUE LINK | 2223181 | 01 |
| TX | RAIL ROAD MEDICARE | 826081717 | 01 |
| Street Address |
3209 N 4TH ST SUITE 100 |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75605-5145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851340285 | Craig Kent King | Ophthalmology | 3209 N 4th St, Suite 100, Longview, TX 75605-5145 | 2006-05-10 |
| 1215326772 | Longview Ophthalmology Associates, Pllc | Ophthalmology | 3209 N 4th St, Suite 100, Longview, TX 75605-5171 | 2015-01-21 |
| 1477846871 | Jonathan Pierce Walgama | Ophthalmology | 3209 N 4th St, Suite 100, Longview, TX 75605-5171 | 2011-05-18 |
| 1922311190 | Randy L. Morton, M.d., Pllc | Surgery | 3209 N 4th St, Suite 300, Longview, TX 75605-5171 | 2010-07-16 |
| 1497861496 | Randy Loren Morton | Surgery | 3209 N 4th St, Suite 300, Longview, TX 75605-5145 | 2006-08-22 |
| 1912938754 | Michael B Guillory | Ophthalmology | 3209 N 4th St, Suite 100, Longview, TX 75605-5145 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194353730 | Dusty Rae Hane | Nurse Practitioner | Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 | 2020-03-30 |
| 1831720374 | Kaycee Whatley | Nurse Practitioner | 323 W Hawkins Parkway, Longview, TX 75605 | 2020-02-03 |
| 1245733492 | Somers Pediatrics | Pediatrics | 103 W. Loop 281, Suite 474, Longview, TX 75605 | 2018-03-14 |
| 1467838391 | Piney Woods Er II LLC | Clinic/Center | 120 East Loop 281, Longview, TX 75605 | 2015-08-03 |
| 1386023968 | Elizabeth Ann Heeb Tidwell | Obstetrics & Gynecology | 802 Medical Dr Ste 100, Longview, TX 75605 | 2015-05-28 |
| 1215353651 | Tracy Hicks | Nurse Practitioner | 102 Commander Dr Ste 9, Longview, TX 75605 | 2014-03-10 |
| 1073881280 | Deirdre Scotter | Specialist/Technologist | 201 E Tomlinson Pkwy, Longview, TX 75605 | 2011-12-02 |
| 1316230139 | Traditions Hospice of Longview, LLC | Hospice Care, Community Based | 4362 N Us Hwy 259, Suite B, Longview, TX 75605 | 2011-05-26 |
| 1184916769 | Telema Dikibujiri Nga | Pediatrics | Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 | 2011-05-13 |
| 1902101108 | The Veta Lewis Behavioral Health Group | Counselor | 1800 S. Judson St., Suite 100, Longview, TX 75605 | 2011-01-19 |
| Find all providers in zip 75605 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487184867 | Jonathan P. Walgama, Md,pa | Ophthalmology | 3209 4th St Ste 100, Longview, TX 75605-5170 | 2017-06-18 |
| 1548600372 | Dong-wouk Park | Ophthalmology | 600 Triangle Shopping Ctr Ste 400, Longview, WA 98632-4677 | 2013-06-25 |
| 1457587099 | David S. Risner Jr. | Ophthalmology | 2394 H G Mosley Parkway, Longview, TX 75604 | 2009-06-10 |
| 1962656868 | University Professional Services | Ophthalmology | 600 Triangle Ctr., Suite 400, Longview, WA 98632-4667 | 2008-11-05 |
| 1811053630 | Mary Uffelman Andrews | Ophthalmology | 804 Medical Dr, Suite I, Longview, TX 75605-5105 | 2006-12-28 |
| 1639248354 | Lower Columbia Eye Clinic Inc Ps | Ophthalmology | 600 Triangle Center, Suite 400, Longview, WA 98632 | 2006-11-07 |
| 1568547834 | Napoleon Carter | Ophthalmology | 505 N 6th St, Longview, TX 75601-6604 | 2006-10-26 |
| 1851340285 | Craig Kent King | Ophthalmology | 3209 N 4th St, Suite 100, Longview, TX 75605-5145 | 2006-05-10 |
| 1215918735 | James Ernest Hulbert | Ophthalmology | 600 Triangle Ctr, Ste 400, Longview, WA 98632-4667 | 2005-11-10 |
| 1669475620 | Joel Thomas Muirhead | Ophthalmology | 1205 N 6th St, Longview, TX 75601-5539 | 2005-05-24 |
| Find all providers in LONGVIEW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.