Provider Demographics
NPI:1386688570
Name:GUYTON, GREGORY P (MD)
Entity Type:Individual
Prefix:
First Name:GREGORY
Middle Name:P
Last Name:GUYTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 N CALVERT ST
Mailing Address - Street 2:STE 400
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218
Mailing Address - Country:US
Mailing Address - Phone:410-554-6844
Mailing Address - Fax:410-554-4326
Practice Address - Street 1:3333 N CALVERT ST
Practice Address - Street 2:STE 400
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218
Practice Address - Country:US
Practice Address - Phone:410-554-6844
Practice Address - Fax:410-554-4326
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2017-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD59372207X00000X
MDD0059372207XX0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD896201Medicaid
MD61674501OtherBCBS
MD903AOtherCFBCBS MD
DCJ848OtherCFBCBS DC
MD896201Medicaid
MD903AOtherCFBCBS MD
DCJ848OtherCFBCBS DC