Organization Active NPI

Dr. Gary J. Guido, Inc.

  • Clinic/Center
  • North Canton, OH
National Provider Identifier
1073078747
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DR. GARY J. GUIDO, INC.
Practice address
5399 Lauby Rd Ste 205
North Canton, OH 44720-1554
Phone
(330) 760-2739
NPI assigned
Feb 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gary J Guido, ODNPI 1912021494
Title
President
Phone
(330) 760-2739

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

5399 Lauby Rd Ste 205
North Canton, OH 44720-1554

Mailing address

5399 Lauby Rd Ste 205
North Canton, OH 44720-1554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190219001737 OH Part B Supplier - Clinic/Group Practice 8820336787 Receives reassigned benefits from 1 practitioner
Practice locations: North Canton, OH

National Provider Directory

National Provider Directory

Locations

5399 Lauby Rd
Ste 205
Green, OH 44720
Phone (330) 494-8814

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549411200000",
    "number": "1073078747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5399 LAUBY RD STE 205",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447201554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5399 LAUBY RD STE 205",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447201554",
            "telephone_number": "330-760-2739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GARY J. GUIDO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-02-06",
        "status": "A",
        "authorized_official_last_name": "GUIDO",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-760-2739",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.