Active NPI
Michelle Rose Guillot, PA-C
- Medical Physician Assistant
- Buffalo, NY
National Provider Identifier
1710318340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA08699
- Practice address
- 199 Scott St Ste 800
Buffalo, NY 14204-2247 - Phone
- (917) 261-4414
- NPI assigned
- Dec 8, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA08699 | TX | Primary |
| Physician Assistant | 363A00000X | PA62287 | CA | |
| Physician Assistant | 363A00000X | 033126 | NY |
Addresses
Primary practice location
199 Scott St Ste 800
Buffalo, NY 14204-2247
Mailing address
199 Scott St Ste 800
Buffalo, NY 14204-2247
Other practice location 1
1110 N Virgil Ave
Los Angeles, CA 90029-2016
Phone (917) 261-4414
Other practice location 2
104 W Mercer St Ste H
Dripping Springs, TX 78620-5248
Phone (512) 892-7076
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA08699 | Other | TX | PA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA08699 | TX | MD | Medical Physician Assistant |
Interoperability endpoints
- michelle.guillot.1@15349.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Boca Raton, FL
- NPI 1609450345
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1770143315
-
- Family Medicine Physician
- Austin, TX
- NPI 1235130592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782259200000",
"number": "1710318340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "199 SCOTT ST STE 800",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142042247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 SCOTT ST STE 800",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142042247",
"telephone_number": "917-261-4414"
}
],
"practiceLocations": [
{
"address_1": "1110 N Virgil Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900292016",
"country_code": "US",
"telephone_number": "917-261-4414",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "104 W Mercer St Ste H",
"address_purpose": "LOCATION",
"city": "Dripping Springs",
"state": "TX",
"postal_code": "786205248",
"country_code": "US",
"telephone_number": "512-892-7076",
"fax_number": "512-899-8460",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUILLOT",
"first_name": "MICHELLE",
"middle_name": "ROSE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-08",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA08699",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA62287",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "033126",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA LICENSE",
"identifier": "PA08699",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.