Dr. Gloria Julia Guzman Perez-carrillo
Radiology (Neuroradiology)

Address: 510 S Kingshighway Blvd, Department of Neuroradiology, Campus Box 8131, Saint Louis, MO 63110-1016
Phone: 3143625950

Dr. Gloria Julia Guzman Perez-carrillo (NPI# 1568669901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1568669901
Entity Type Individual
Full Name Dr. Gloria Julia Guzman Perez-carrillo
Credential MD
Gender Female
Practice Address 510 S Kingshighway Blvd
Department of Neuroradiology, Campus Box 8131
Saint Louis
MO 63110-1016
Practice Telephone 3143625950
Mailing Address 4535 Forest Park Ave Apt 513
Saint Louis
MO 63108-2167
Mailing Telephone 7876426779
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2007-06-29
Last Update Date 2015-05-06

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 2085R0202X Radiology · Diagnostic Radiology Allopathic & Osteopathic Physicians A112179 CA
Yes 2085N0700X Radiology · Neuroradiology Allopathic & Osteopathic Physicians 2014008011 MO

Physician Overview

NPI 1568669901
PAC ID by PECOS 1456495696
Professional Enrollment ID I20160824000091
Full Name Gloria Julia Guzman Perez-carrillo
Organization Legal Name BANNER UNIVERSITY MEDICAL GROUP
Phone Number 5206940111
Gender F
Graduation Year 2004
Primary Specialty DIAGNOSTIC RADIOLOGY
Group Practice PAC ID 7719899871
Number of Group Practice Members 592
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
030064 BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS
030111 BANNER-UNIVERSITY MEDICAL CENTER SOUTH CAMPUS

Office Location

Street Address 510 S KINGSHIGHWAY BLVD
DEPARTMENT OF NEURORADIOLOGY, CAMPUS BOX 8131
City SAINT LOUIS
State MO
Zip Code 63110-1016

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477541324 Geetika Khanna Radiology 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 2005-10-13
1447754767 Allison L Schell Physician Assistant 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 2018-03-21
1407381262 Philip Andrew Velez Student in an Organized Health Care Education/Training Program 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 2017-04-28
1306227137 Mark Jeffrey Hoegger Internal Medicine 510 S Kingshighway Blvd, Campus Box 8131, Saint Louis, MO 63110-1016 2015-06-17
1275920613 Gary Lance White Radiology 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 2015-04-23
1518352772 Ryan E Lueking Physician Assistant 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 2015-04-03
1427477843 Benjamin Strnad Student in an Organized Health Care Education/Training Program 510 S Kingshighway Blvd, Campus Box 8131, Saint Louis, MO 63110-1016 2014-04-14
1841618394 David Colin Kraft Student in an Organized Health Care Education/Training Program 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 2014-04-02
1548695521 Jason Dona Messinger Radiology 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 2013-09-09
1205278496 Devon Marie Divito Radiology 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 2013-07-29
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760978688 Ihab Hassanieh Student in an Organized Health Care Education/Training Program 33660 Vista Ave, St. Louis, MO 63110 2018-07-03
1336634500 Martin K Mwangi Pediatrics 1 Childrens Place, 3s34, St. Louis, M, MO 63110 2018-06-28
1861987521 Miranda Lyn Edmunds Pediatrics One Children's Place 3s34, St. Louis, MO 63110 2018-06-26
1013402924 Caroline Kellagher Noel Pediatrics St. Louis Children's Hospital, 3s34, One Children's Place, St. Louis, MO 63110 2018-06-25
1104310192 Brent Bruck Internal Medicine One Barnes-jewish Plaza, St. Louis, MO 63110 2018-06-21
1013430891 Washington University Physical Therapist 4921 Parkview Pl Ste 6f, Saint Louis, MO 63110 2017-07-24
1710407002 Brock Andrew Phillips Pediatrics 1 Children's Place 3s34, Saint Louis, MO 63110 2017-06-27
1790205524 Michael Sean O'neill Student in an Organized Health Care Education/Training Program 3635 Vista Avenue At Grand Blvd, Saint Louis, MO 63110 2017-06-22
1033649819 Taewoo Lee Internal Medicine 3635 Vista Ave Saint Louis University Medical Center, Division of Nephrology, Saint Louis, MO 63110 2017-06-14
1831629898 Susan Beth Thomas Social Worker I) 4130 Lindell Blvd, St Louis, MO 63110 2017-06-13
Find all providers in zip 63110

Taxonomy Information

Taxonomy Code 2085N0700X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Neuroradiology

Taxonomy Definition

A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457832404 Sudhir Bhimaniya Radiology 216 S Kingshighway Blvd, Saint Louis, MO 63110-1026 2018-08-28
1861792715 Fang Zhu Radiology 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 2010-10-26
1881822682 Akash P Kansagra Radiology 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 2009-06-30
1821258203 Prakash M. Masand Radiology 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 2008-06-10
1073771283 Maria R Ponisio Radiology 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 2008-05-26
1780700526 Joseph M Mettenburg Radiology 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 2007-03-22
1689745085 Katie D Vo Radiology 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 2006-11-10
1003905993 Benjamin Lee Radiology 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 2006-10-11
1508950841 Joanne L. Lacey Radiology 615 S New Ballas Rd, Dept of Radiology, Saint Louis, MO 63141-8221 2006-10-03
1871687111 Robert Mckinstry Radiology 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 2006-10-03
Find all providers in SAINT LOUIS

Competitor

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City SAINT LOUIS
Zip Code 63110

Improve Information

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Dataset Information

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.

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