Active NPI
Lee J Guo, D.O.
- Internal Medicine Physician
- Paoli, PA
National Provider Identifier
1316234263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS017049
- Practice address
- 255 W Lancaster Ave Mob 2 Ste 120
Paoli, PA 19301-1755 - Phone
- (610) 644-9456
- Fax
- (610) 644-5203
- NPI assigned
- Jun 29, 2011
- Last updated
- Jul 21, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS017049 | PA | Primary |
Addresses
Primary practice location
255 W Lancaster Ave Mob 2 Ste 120
Paoli, PA 19301-1755
Mailing address
255 W Lancaster Ave Mob 2 Ste 120
Paoli, PA 19301
Phone (610) 644-9456
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | leeguo@gvma.allscriptsdirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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
- Philadelphia College of Osteopathic Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
255 W Lancaster Ave
Mob 2 Suite 120
Paoli, PA 19301-1755
Phone (610) 644-9456
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS017049 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Valley Medical Associates, PC | Internal Medicine | Current | Accepting new patients |
Locations
255 W Lancaster Ave
Ste 120
Paoli, PA 19301
Phone (610) 644-9456
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.
-
dba Great Valley Medical Associates
- Internal Medicine Physician
- Paoli, PA
- NPI 1306815048
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Exton, PA
- NPI 1356626824
-
- General Acute Care Hospital
- West Chester, PA
- NPI 1356333579
-
dba Lankenau Hospital
- General Acute Care Hospital
- Wynnewood, PA
- NPI 1245335629
-
dba Bryn Mawr Rehabilitation Hospital
- Rehabilitation Hospital
- Malvern, PA
- NPI 1396850368
Inpatient rehabilitation facility
-
dba Bryn Mawr Hospital
- General Acute Care Hospital
- Bryn Mawr, PA
- NPI 1508971441
-
- General Acute Care Hospital
- Media, PA
- NPI 1407856099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1316234263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 W LANCASTER AVE MOB 2 STE 120",
"city": "PAOLI",
"state": "PA",
"postal_code": "19301",
"telephone_number": "610-644-9456",
"fax_number": "610-644-5203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 W LANCASTER AVE MOB 2 STE 120",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011755",
"telephone_number": "610-644-9456",
"fax_number": "610-644-5203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUO",
"first_name": "LEE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-29",
"last_updated": "2022-07-21",
"certification_date": "2021-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OS017049",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "leeguo@gvma.allscriptsdirect.net",
"affiliation": "N",
"address_1": "255 W Lancaster Ave MOB 2 Ste 120",
"city": "Paoli",
"state": "PA",
"country_code": "US",
"postal_code": "193011755",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Paoli, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.