Individual provider Active NPI

Jocelyn Guillen, DPM

  • Podiatrist
  • Baltimore, MD
National Provider Identifier
1750777116
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
01701 Issued in MD
Practice address
9105 Franklin Square Dr Ste 214
Baltimore, MD 21237-3934
Phone
(732) 899-3366
NPI assigned
Apr 13, 2015
Last updated
Jan 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Podiatrist 213E00000X 25MD00340900 NJ
Podiatrist 213E00000X 01701 MD Primary

Addresses

Primary practice location

9105 Franklin Square Dr Ste 214
Baltimore, MD 21237-3934

Mailing address

9105 Franklin Square Dr Ste 214
Baltimore, MD 21237-3934

Other practice location 1

1 Medical Center Blvd
Chester, PA 19013-3902
Phone (610) 447-2739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201120000681 MD Practitioner - Podiatry 2264789791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Howard County Foot and AnkleGroup PAC ID 5193127751, 2 clinicians

Practice addresses (Care Compare)

8860 Columbia 100 Pkwy
Suite 205
Columbia, MD 21045-2383
Phone (714) 829-8201

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue32
Removal of skin lesions1-10
Removal of nail tissue187
Removal or shaving of skin growth103

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01701MDMDPodiatrist
25MD00340900NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Howard County Foot & Ankle Podiatrist CurrentSince May 1, 2024 Accepting new patients

Locations

8860 Columbia 100 Pkwy
Ste 205
Columbia, MD 21045
Phone (410) 405-7444

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23710/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jocelynguillen@afas.allscriptsdirect.net

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.

Hospital & facility affiliations 1

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": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1750777116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9105 FRANKLIN SQUARE DR STE 214",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9105 FRANKLIN SQUARE DR STE 214",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373934",
            "telephone_number": "732-899-3366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "PA",
            "postal_code": "190133902",
            "country_code": "US",
            "telephone_number": "610-447-2739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUILLEN",
        "first_name": "JOCELYN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-13",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00340900",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "01701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.