NPIMap

Organization Active NPI

Ohioguidestone

  • Family Medicine Physician
  • Lorain, OH
National Provider Identifier
1487452603
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OHIOGUIDESTONE
Practice address
2173 N Ridge Rd E Ste G
Lorain, OH 44055-3400
Phone
(440) 260-8300
NPI assigned
Mar 4, 2025
Last updated
Mar 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Authorized official

Name
Kristy Goldrick
Title
Credentialing Specialist
Phone
(216) 820-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

2173 N Ridge Rd E Ste G
Lorain, OH 44055-3400

Mailing address

202 E Bagley Rd
Berea, OH 44017-2058

Other practice location 1

2173 N Ridge Rd E Ste E
Lorain, OH 44055-3400
Phone (440) 260-8300

Other names 1

  • Guidestone Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130308000507 OH Part B Supplier - Clinic/Group Practice 5597910935 Receives reassigned benefits from 208 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: New Philadelphia, OH; Lancaster, OH; Napoleon, OH; Medina, OH; Marion, OH; Lorain, OH; Bryan, OH; Oberlin, OH…

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Guidestone20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Locations

515 E Main St
Ste B
Columbus, OH 43215

700 Dudgeon Way
Dennison, OH 44621

25701 N Lakeland Blvd
Ste 403
Euclid, OH 44132
Phone (216) 273-7000

1800 N Blanchard St
Ste 102
Findlay, OH 45840

5706 Turney Rd
Ste 200
Garfield Hts, OH 44125
Phone (216) 337-9664

15644 Madison Ave
Ste 104
Lakewood, OH 44107
Phone (440) 260-6106

336 E Locust St
Lancaster, OH 43130
Phone (740) 672-3855

2173 N Ridge Rd E
Ste G
Lorain, OH 44055

500 E Lorain St
Ste R8
Oberlin, OH 44074

90 N State St
Painesville, OH 44077

463 6th St
Toledo, OH 43605
Phone (419) 214-1110

Practitioners & affiliated clinicians

Practitioners 228

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 228

NPI Registry JSON

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

{
    "created_epoch": "1741046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1487452603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E BAGLEY RD",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440172058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2173 N RIDGE RD E STE G",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440553400",
            "telephone_number": "440-260-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2173 N Ridge Rd E Ste E",
            "address_purpose": "LOCATION",
            "city": "Lorain",
            "state": "OH",
            "postal_code": "440553400",
            "country_code": "US",
            "telephone_number": "440-260-8300",
            "fax_number": "440-260-8575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OHIOGUIDESTONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "GOLDRICK",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "216-820-3000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guidestone",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lorain, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.