Provider Demographics
NPI:1902898265
Name:GARCIA-ORDENES, GUILLERMO E (MD)
Entity Type:Individual
Prefix:DR
First Name:GUILLERMO
Middle Name:E
Last Name:GARCIA-ORDENES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:BILL
Other - Middle Name:
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 913041
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80291-3041
Mailing Address - Country:US
Mailing Address - Phone:620-275-3700
Mailing Address - Fax:
Practice Address - Street 1:311 E SPRUCE ST
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:KS
Practice Address - Zip Code:67846
Practice Address - Country:US
Practice Address - Phone:620-275-3030
Practice Address - Fax:620-275-3025
Is Sole Proprietor?:No
Enumeration Date:2005-08-22
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-16930207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100195630 AMedicaid
KS01912Medicare ID - Type Unspecified
KS100195630 AMedicaid
KSKA1610015Medicare PIN