Active NPI
Carla L Guggenheim, DO
- Rheumatology Physician
- Lansing, MI
National Provider Identifier
1477562643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- CG010463
- Practice address
- 1106 N Cedar St
Suite 2a
Lansing, MI 48906-5334 - Phone
- (517) 267-0107
- Fax
- (517) 267-9523
- NPI assigned
- Aug 5, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | CG010463 | MI | Primary |
Addresses
Primary practice location
1106 N Cedar St
Suite 2a
Lansing, MI 48906-5334
Mailing address
1106 N Cedar St
Suite 2a
Lansing, MI 48906-5334
Phone (517) 267-0107
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1153302345 | Other | MI | MICHIGAN BLUE SHIELD |
| CG010463 | Other | MI | STATE LICENSE NUMBER |
| 1004432 | Other | MI | MCLAREN HEALTH PLAN |
| 4233584 | Medicaid | MI | |
| 3200009 | Other | MI | PHYSICIANS HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CG010463 | MI | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabilitative Care, PC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Lansing, MI
- NPI 1841484177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392854400000",
"number": "1477562643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1106 N CEDAR ST",
"address_2": "SUITE 2A",
"city": "LANSING",
"state": "MI",
"postal_code": "489065334",
"telephone_number": "517-267-0107",
"fax_number": "517-267-9523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 N CEDAR ST",
"address_2": "SUITE 2A",
"city": "LANSING",
"state": "MI",
"postal_code": "489065334",
"telephone_number": "517-267-0107",
"fax_number": "517-267-9523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUGGENHEIM",
"first_name": "CARLA",
"middle_name": "L",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2014-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "MI",
"license": "CG010463",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MICHIGAN BLUE SHIELD",
"identifier": "1153302345",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "CG010463",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN HEALTH PLAN",
"identifier": "1004432",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4233584",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIANS HEALTH PLAN",
"identifier": "3200009",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.