KENNETH MICHAEL GUIDA PAC NPI 1922019892

NPI Information

NPI: 1922019892
Provider Name: KENNETH MICHAEL GUIDA, PAC
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
190 CAMPUS BLVD
SUITE 201
WINCHESTER, VA
ZIP 22601
Phone: (540) 662-0306
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Kenneth Michael Guida, PAC is a medical physician assistant in Winchester, VA. Kenneth Michael Guida, PAC NPI is 1922019892. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

190 CAMPUS BLVD
SUITE 201
WINCHESTER, VA
ZIP 22601
Phone: (540) 662-0306
Fax: (540) 542-1843

The NPI 1922019892 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 8/10/2006 and was last updated on 2/11/2009.

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	363AM0700X	Physician Assistant	Medical	0110-001547	VIRGINIA	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	000698W82	MEDICARE PIN	VIRGINIA
2	1922019892	MEDICAID	VIRGINIA
3	P00656349	OTHER		RAILROAD MEDICARE
4	MC10504	MEDICARE PIN	VIRGINIA
5	016013W85	MEDICARE PIN	VIRGINIA

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: 5/5/2024

NPI Synchronization or Removal

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