Active NPI
Riley Guest
- Physician Assistant
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 4777 E Outer Dr
Detroit, MI 48234-3241 - Phone
- (313) 369-9100
- NPI assigned
- Aug 18, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
4777 E Outer Dr
Detroit, MI 48234-3241
Mailing address
4700 Dixon Cavett Rd
Convoy, OH 45832-9501
Phone (419) 513-0102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
541 State Route 664 N
Logan, OH 43138-8541
Phone (740) 380-8350
601 State Route 664 N
Logan, OH 43138-8541
Phone (740) 380-8129
701 Tech Ctr Dr
Gahanna, OH 43230-1987
Phone (614) 396-2684
819 State Route 664 N
Logan, OH 43138-8540
Phone (740) 380-8140
8200 Hazelton-Etna Rd
Suite 200
Pastaskala, OH 43062
Phone (800) 720-0505
Hospital & facility affiliations
- Riverside Methodist Hospital
- Hocking Valley Community Hospital
- Holzer Medical Center
- Fairfield Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Ohio Urology Group, LLC | Current | Accepting new patients | |
| Hocking Valley Medical Group Transportation | Current | Accepting new patients | |
| Central Ohio Urology Group, LLC | Current | Accepting new patients |
Locations
8200 Hazelton Etna Rd SW
Etna, OH 43062
Phone (614) 221-5189
701 Tech Center Dr
Ste 250
Gahanna, OH 43230
701 Tech Center Dr
Gahanna, OH 43230
Phone (614) 944-4806
701 Tech Center Dr
Ste 100
Gahanna, OH 43230
Phone (440) 724-4498
601 State Route 664 N
Logan, OH 43138
Phone (740) 380-8000
819 State Route 664 N
Logan, OH 43138
Phone (740) 380-8140
350 W Wilson Bridge Rd
Ste 100
Worthington, OH 43085
Phone (614) 268-2323
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- rguest647749@direct.osumc.edu
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urology Physician
- Gahanna, OH
- NPI 1396780466
-
- Family Medicine Physician
- Logan, OH
- NPI 1801994827
-
- Urology Physician
- Gahanna, OH
- NPI 1073907309
-
- Non-emergency Medical Transport (VAN)
- Logan, OH
- NPI 1417555087
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lancaster, OH
- NPI 1467433763
-
- Critical Access Hospital
- Logan, OH
- NPI 1295840007
-
- Rural Acute Care Hospital
- Gallipolis, OH
- NPI 1942256888
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1467484972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629244800000",
"number": "1033885256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 DIXON CAVETT RD",
"city": "CONVOY",
"state": "OH",
"postal_code": "458329501",
"telephone_number": "419-513-0102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4777 E OUTER DR",
"city": "DETROIT",
"state": "MI",
"postal_code": "482343241",
"telephone_number": "313-369-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUEST",
"first_name": "RILEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-18",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.