Jon Guckian

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

655 E Cedar Ave
Gladwin, MI 48624-2215

Phone

(198) 942-6929

Fax

(989) 426-2251

NPI assigned

Dec 8, 2016

Last updated

Dec 8, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1790229813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 E CEDAR AVE",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "486242215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 E CEDAR AVE",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "486242215",
            "telephone_number": "198-942-6929",
            "fax_number": "989-426-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUCKIAN",
        "first_name": "JON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-08",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Goodin, MD
• Taylor Gorski
• Great Lakes Medical PC (Gladwin Urgent Care Center)
• Great Lakes Medical, P,C, (Gladwin Urgent Care Center)
• Raina Lee Greaves, D.C.
• Alissa Guoan
• Debra Hamilton, PSYD, LLP
• Heather Lin Hamilton
• Madisyn Hamilton
• Emily Ann Hammond

• Peer Specialist in Gladwin, MI
• Providers in Gladwin, MI by specialty
• Peer Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.