Active NPI
Seth Jonathan Guillozet, MD
- Internal Medicine Physician
- Lima, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35.151346
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Kindred Hospital Lima
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.151346 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KND Development 59, LLC | Current | Accepting new patients | |
| Mercy Health Physicians Lima Specialty Care LLC | Current | Accepting new patients | |
| KND Development 59 LLC | Current | 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
- 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.
-
- Hospitalist Physician
- Dayton, OH
- NPI 1992034680
-
- Surgery Physician
- Lima, OH
- NPI 1518589803
-
- Hospitalist Physician
- Broken Arrow, OK
- NPI 1922950823
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- General Acute Care Hospital
- Lima, OH
- NPI 1811939887
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Lima, OH
- NPI 1447276936
-
- General Acute Care Hospital
- Lima, OH
- NPI 1811939887
-
- Long Term Care Hospital
- Lima, OH
- NPI 1972589000
Long-term care hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.