Active NPI
Will Guider
- Pediatrics Physician
- Columbus, OH
National Provider Identifier
1134513195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 63612
- Practice address
- 700 Childrens Dr
Columbus, OH 43205-2639 - Phone
- (614) 722-3435
- NPI assigned
- Mar 26, 2015
- Last updated
- Jun 22, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 35.133076 | OH | |
| Pediatrics Physician | 208000000X | 63612 | TN | Primary |
Addresses
Primary practice location
700 Childrens Dr
Columbus, OH 43205-2639
Mailing address
700 Childrens Dr
Columbus, OH 43205-2664
Other practice location 1
571 S Floyd St Ste 412
Louisville, KY 40202-3877
Phone (502) 629-8828
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.133076 | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Emergency Physicians LLC | Current | Accepting new patients |
Locations
2018 Clinch Ave
Knoxville, TN 37916
Phone (865) 541-8000
9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624320000000",
"number": "1134513195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 CHILDRENS DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 CHILDRENS DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052639",
"telephone_number": "614-722-3435"
}
],
"practiceLocations": [
{
"address_1": "571 S Floyd St Ste 412",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402023877",
"country_code": "US",
"telephone_number": "502-629-8828",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUIDER",
"first_name": "WILL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-26",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35.133076",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "63612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.