KENNETH J. GUIDERA M.D. – NPI #1922150697
Orthopaedic Surgery

An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.

KENNETH GUIDERA is an orthopaedic surgeon located in MINNEAPOLIS, MN. NPPES has assigned the NPI number 1922150697 to KENNETH GUIDERA on January 16, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207XP3100X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery

The NPI profile was previously updated about 15 years ago on Apr 04, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KENNETH GUIDERA below.

NPI Profile for
KENNETH J. GUIDERA

NPI Number
1922150697
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KENNETH J. GUIDERA
Credentials
M.D.
Primary location
2025 E RIVER PKWY
MINNEAPOLIS, MN 55414-3604
Phone: (612) 596-6187 Fax: (612) 339-7634
Mailing address
P.O. BOX 209036
SHRINERS HOSPITALS FOR CHILDREN TWIN CITIES
DALLAS, TX 75320-9036
Phone: (813) 281-8478 Fax: (813) 281-8113
Sole Proprietor
No
Updated
Identifiers

Identifiers for KENNETH GUIDERA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMN1922150697
MEDICAIDMN158417100
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207XP3100X
- Orthopaedic Surgery / Pediatric Orthopaedic Surgery (Primary)
MN 47329

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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