Provider Demographics
NPI:1942288980
Name:WERKHOVEN, GUY J (DPM)
Entity Type:Individual
Prefix:
First Name:GUY
Middle Name:J
Last Name:WERKHOVEN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 TUNNEL RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805-2576
Mailing Address - Country:US
Mailing Address - Phone:828-298-7911
Mailing Address - Fax:828-299-5868
Practice Address - Street 1:1100 TUNNEL RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805-2576
Practice Address - Country:US
Practice Address - Phone:828-298-7911
Practice Address - Fax:828-299-5868
Is Sole Proprietor?:No
Enumeration Date:2006-01-09
Last Update Date:2023-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN763213EP1101X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN5254910001OtherDMERK
MN768181047028OtherPREFERRED ONE
MN363449300Medicaid
MN133106OtherU CARE
MN539P8WEOtherBCBS
MNHP64433OtherHEALTHPARTNERS
MN2700621OtherMEDICA
MN2443249OtherAMERICA'S PPO
MN363449300OtherMEDICAL ASSISTANCE
MN497P2WEOtherBCBS
MN2700621OtherMEDICA PRIMARY-EVERCARE
MN539P8WEOtherBCBS
MN363449300OtherMEDICAL ASSISTANCE
MN363449300Medicaid