Individual provider Active NPI

Seth Jonathan Guillozet, MD

  • Internal Medicine Physician
  • Lima, OH
National Provider Identifier
1174103121
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.151346 Issued in OH
Practice address
730 W Market St
Lima, OH 45801-4602
Phone
(419) 226-4310
Fax
(419) 226-4315
NPI assigned
Apr 13, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OH
Internal Medicine Physician 207R00000X 35.151346 OH Primary

Addresses

Primary practice location

730 W Market St
Lima, OH 45801-4602

Mailing address

53 Eastview Dr
Fort Loramie, OH 45845-9318
Phone (937) 638-4814

Other practice location 1

53 Eastview Dr
Fort Loramie, OH 45845-9318
Phone (937) 638-4814

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240524003001 OH Practitioner - Internal Medicine 6608277272 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wright State University Boonshoft School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KND Development 59 LLCGroup PAC ID 3678602802, 176 clinicians
Mercy Health Physicians Lima Specialty Care LLCGroup PAC ID 7012332364, 254 clinicians

Practice addresses (Care Compare)

730 W Market St
Lima, OH 45801-4602
Phone (419) 224-1888

Hospital & facility affiliations

  • Mercy Health St Ritas Medical Center Hospital, Lima, OH, CCN 360066
  • Kindred Hospital Lima Long-term care hospital, Lima, OH, CCN 362020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.151346OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
KND Development 59, LLC CurrentSince Jan 24, 2025 Accepting new patients
Mercy Health Physicians Lima Specialty Care LLC CurrentSince Jul 1, 2024 Accepting new patients
KND Development 59 LLC CurrentSince Jan 24, 2025 Accepting new patients
Mercy Health-St Ritas Medical Center LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

707 S Edwin C Moses Blvd
Dayton, OH 45417
Phone (937) 221-8000

830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960

750 W High St
Ste 250
Lima, OH 45801
Phone (419) 227-7399

730 W Market St
Lima, OH 45801
Phone (419) 226-4310

Interoperability endpoints

  • Direct secure messaging: sguillozet862359@direct.bsmhealth.org

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1174103121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 EASTVIEW DR",
            "city": "FORT LORAMIE",
            "state": "OH",
            "postal_code": "458459318",
            "telephone_number": "937-638-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 W MARKET ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014602",
            "telephone_number": "419-226-4310",
            "fax_number": "419-226-4315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "53 Eastview Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Loramie",
            "state": "OH",
            "postal_code": "458459318",
            "country_code": "US",
            "telephone_number": "937-638-4814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUILLOZET",
        "first_name": "SETH",
        "middle_name": "JONATHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-13",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.151346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.