Individual provider Active NPI

Douglas Paul Guenter, DOUGLAS GUENTER

  • Family Medicine Physician
  • Oswego, NY
National Provider Identifier
1659450989
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
238616 Issued in NY
Practice address
110 W Utica St
Oswego, NY 13126-3047
Phone
(315) 342-2024
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 238616 NY
Family Medicine Physician 207Q00000X 238616 NY Primary

Addresses

Primary practice location

110 W Utica St
Oswego, NY 13126-3047

Mailing address

110 W Utica St
Oswego, NY 13126-3047
Phone (315) 342-2024

Other identifiers 1

IdentifierTypeStateIssuer
02837098MedicaidNY

Other names 1

  • Douglas Guenter Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20070806000394 NY Practitioner - Family Practice 5294826293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Wisconsin, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Care PCGroup PAC ID 9032367453, 74 clinicians

Practice addresses (Care Compare)

110 W 6TH St
Oswego, NY 13126-2507
Phone (315) 349-5511

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
238616NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Care PC Family Medicine CurrentSince Oct 1, 2018 Accepting new patients

Locations

3045 East Ave
Central Square, NY 13036
Phone (315) 668-1202

110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511

33 E Schuyler St
Ste 100
Oswego, NY 13126
Phone (315) 326-3440

110 W Utica St
Oswego, NY 13126
Phone (315) 342-2024

Interoperability endpoints

  • Direct secure messaging: dguent@oswegohealth.medentdirect.com

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.

Hospital & facility affiliations 2

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1659450989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W UTICA ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131263047",
            "telephone_number": "315-342-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W UTICA ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131263047",
            "telephone_number": "315-342-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUENTER",
        "first_name": "DOUGLAS",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DOUGLAS GUENTER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "238616",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "238616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02837098",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOUGLAS",
            "last_name": "GUENTER",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oswego, NY

Sources for this page

Verify at the official NPI Registry.