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

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: July 26, 2026.

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

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
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Other Identifiers 2

Medicaid100346800IN
Medicaid300010982IN

Other Providers at the Same Location NPPES 6

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)
2150 GETTLER ST STE 400
DYER, IN 46311
Lake County (219) 865-0893
SUSAN MARIE CRONER NP-BC
Nurse Practitioner
2150 GETTLER ST STE 400
DYER, IN 46311
Lake County (219) 865-0893
AMIT KUMAR M.D.
Internal Medicine (Cardiovascular Disease)
2150 GETTLER ST STE 400
DYER, IN 46311
Lake County (219) 865-0893
LANCE T WALLACE M.D.
Internal Medicine
2150 GETTLER ST STE 400
DYER, IN 46311
Lake County (219) 864-4970
JOHN D ANDRESS MD
Internal Medicine (Clinical Cardiac Electrophysiology)
2150 GETTLER ST STE 400
DYER, IN 46311
Lake County (219) 865-0893
ALYSSA MARIE BORKOWSKI
Nurse Practitioner (Family)
2150 GETTLER ST STE 400
DYER, IN 46311
Lake County (219) 865-0893

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 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.

Where is Mateo Guanzon located?

Mateo Guanzon practices at 2150 Gettler St Ste 400, Dyer, IN 46311. The listed phone number is (219) 865-0893.

What is Mateo Guanzon's specialty?

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

When was this NPI record last updated?

The NPPES record for Mateo Guanzon was last updated on March 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.