MARISA N. H. GUILLORY (NPI# 1942429279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942429279 |
| Entity Type | Individual |
| Full Name | MARISA N. H. GUILLORY |
| Credential | MD |
| Practice Address |
709 Hollybrook Dr Ste 5605 Longview TX 75605-2416 |
| Mailing Address |
Po Box 847176 Dallas TX 75284-7176 |
| Practice Telephone | 9032916300 |
| Practice Fax Number | 9032916305 |
| Mailing Telephone | 9032371800 |
| Mailing Fax Number | 9032371810 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2019-07-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | N9215 | TX | Allopathic & Osteopathic Physicians |
| Y | 2080S0012X |
Pediatrics Specialization: Sleep Medicine |
N9215 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
709 HOLLYBROOK DR STE 5605 |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75605-2416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649394420 | Susan B Jones | Audiologist | 709 Hollybrook Dr Ste 5605, Longview, TX 75605-2416 | 2007-03-19 |
| 1679108104 | Michael K. Brandon II | Registered Nurse | 709 Hollybrook Dr Ste 5605, Longview, TX 75605-2416 | 2020-03-04 |
| 1528541489 | James Andrew Leath | Registered Nurse | 709 Hollybrook Dr Ste 5605, Longview, TX 75605-2416 | 2018-09-07 |
| 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 | 2080S0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Sleep Medicine |
| A Pediatrician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184159055 | Ryan M Guillory Md Pa | Pediatrics | 709 Hollybrook Dr, Suite 5605, Longview, TX 75605-2411 | 2017-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073501375 | Susan A Barrows | Pediatrics | 4000 S Loop 256, Sleep Disorders Center, Prrh, Palestine, TX 75801-8467 | 2005-10-11 |
| 1285942920 | Tots N Teens Clinics | Pediatrics | 1611 N Belt Line Rd, Suite B, Mesquite, TX 75149-1722 | 2010-09-15 |
| 1154434868 | Hilary Baldwin Pearson | Pediatrics | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2006-08-16 |
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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.