MATEO GUANZON M.D.
NPI 1629073366
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Dyer, IN

Q: What is Mateo Guanzon's NPI number?

The NPI number for Mateo Guanzon is 1629073366. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Q: What is Mateo Guanzon's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for Mateo Guanzon was last updated on March 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 17, 2005

2150 GETTLER ST STE 400, DYER, IN 46311(219) 865-0893 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 22, 2021, Sep 23, 2019, Sep 18, 2019 and 1 more (4 updates tracked since 2019).

On this page

About Mateo Guanzon M.d. NPPES

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

MATEO GUANZON M.D. (NPI 1629073366) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Dyer, Indiana, licensed in Indiana (01035781A) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1629073366

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameMATEO GUANZONCredential: M.D.

Location Address2150 GETTLER ST STE 400Dyer, IN 46311-2385

Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4868 · Fax (317) 865-1479

Phone(219) 865-0893

Sole ProprietorYes

Enumeration DateJune 17, 2005

Last NPPES UpdateMarch 22, 20214 updates tracked since enumeration

NPPES CertifiedMarch 22, 2021

✔ NPI 1629073366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

Licenses✔ Licensed in IN · 01035781A✔ Licensed in IN · 01035781

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License 01035781A (IN)

2150 GETTLER ST STE 400, Dyer, IN 46311

Open in Google Maps ↗

Other Identifiers 2

Medicaid100346800IN

Medicaid300010982IN

Other Providers at the Same Location NPPES 7

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

C RICHARD SMITH DO

Internal Medicine (Interventional Cardiology)