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JUAN FULGENCIO MERCADO GUZMAN PA-C
NPI 1407204829
Physician Assistant - Medical in Tinker Afb, OK

Active since May 26, 2016
7050 AIR DEPOT BLVD, TINKER AFB, OK 73145(405) 582-6644 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Juan Fulgencio Mercado Guzman Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUAN FULGENCIO MERCADO GUZMAN PA-C (NPI 1407204829) is an individual medical provider in Tinker Afb, Oklahoma and active in the NPI registry since May 2016. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1407204829
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJUAN FULGENCIO MERCADO GUZMANCredential: PA-C
Location Address7050 AIR DEPOT BLVDTinker Afb, OK 73145-8716
Mailing Address7050 Air Depot BlvdTinker Afb, OK 73145-8716
Phone(405) 582-6644
Sole ProprietorNo
Enumeration DateMay 26, 2016
Last NPPES UpdateAugust 1, 2025
NPPES CertifiedAugust 1, 2025
✔ NPI 1407204829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Also ListedPhysician AssistantTaxonomy 363A00000X
7050 AIR DEPOT BLVD, Tinker Afb, OK 73145
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Secondary Practice Locations 2

Location 118th Medical Group, unit 5142APO, AP 96368 · Phone (315) 630-4780
Location 296 MDSS/SGNE, 307 Boatner RDEglin AFB, FL 32542 · Phone (850) 883-8448

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHILLIP JACOB TREXEL
Student in an Organized Health Care Education/Training Program
7050 AIR DEPOT BLVD
TINKER AFB, OK 73145
Oklahoma County (210) 292-5972
MRS. MEGAN ELIZABETH MOBLEY AU.D.
Audiologist
7050 AIR DEPOT BLVD
TINKER AFB, OK 73145
Oklahoma County (210) 292-5420
DR. ELISA BRIANA GARCIA MARTINEZ MOFFITT DDS
Dentist
7050 AIR DEPOT BLVD
TINKER AFB, OK 73145
Oklahoma County (405) 734-2778
MICHAEL KLOSE
Physician Assistant (Medical)
7050 AIR DEPOT BLVD
TINKER AFB, OK 73145
Oklahoma County (405) 734-2778
JAMES NEAL DILLARD III PA-C
Physician Assistant
7050 AIR DEPOT BLVD
TINKER AFB, OK 73145
Oklahoma County (405) 582-6252
ANGELA MARIE SCHETTER APRN
Nurse Practitioner (Family)
7050 AIR DEPOT BLVD
TINKER AFB, OK 73145
Oklahoma County (405) 734-2778
MS. ELIZABETH YUN BOWMAN IDC
Military Health Care Provider (Independent Duty Corpsman)
7050 AIR DEPOT BLVD
TINKER AFB, OK 73145
Oklahoma County (405) 582-6665
SHAYLEE JADE FOUTS MED, ATC, LAT, PES
Specialist/Technologist (Athletic Trainer)
7050 AIR DEPOT BLVD
TINKER AFB, OK 73145
Oklahoma County (405) 734-9595

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Juan Mercado Guzman's NPI number?

The NPI number for Juan Mercado Guzman is 1407204829. It was assigned to this individual provider in the NPPES registry on May 26, 2016.

Where is Juan Mercado Guzman located?

Juan Mercado Guzman practices at 7050 Air Depot Blvd, Tinker Afb, OK 73145. The listed phone number is (405) 582-6644.

What is Juan Mercado Guzman's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Juan Mercado Guzman was last updated on August 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.