Active NPI
Michael L Guyer, MD
- Family Medicine Physician
- Ratcliff, AR
National Provider Identifier
1801996392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E1081
- Practice address
- 9755 W State Highway 22
Ratcliff, AR 72951 - Phone
- (479) 635-5300
- Fax
- (479) 635-2010
- NPI assigned
- Sep 24, 2006
- Last updated
- Sep 22, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E1081 | AR | Primary |
Addresses
Primary practice location
9755 W State Highway 22
Ratcliff, AR 72951
Mailing address
PO Box 130
Ratcliff, AR 72951-0130
Phone (479) 635-5300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100081020B | Medicaid | OK | |
| 137012001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E1081 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River Valley Primary Care Services | Current | Accepting new patients | |
| River Valley Primary Care Services | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Family Medicine | Past | Accepting new patients |
| Cooper Clinic PA | Past | Accepting new patients | |
| University of Arkansas for Medical Sciences | Family Medicine | Past | Accepting new patients |
Locations
421 N Main St
Mulberry, AR 72947
Phone (479) 997-1484
2074 Rice St
Waldron, AR 72958
Phone (479) 637-2100
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Ratcliff, AR
- NPI 1952349003
-
dba Bonanza Wellness Center
- Federally Qualified Health Center (FQHC)
- Bonanza, AR
- NPI 1184256679
-
- Multi-Specialty Clinic/Center
- Fort Smith, AR
- NPI 1154341931
-
- Family Medicine Physician
- El Dorado, AR
- NPI 1023795051
-
- Family Medicine Physician
- Fort Smith, AR
- NPI 1831193531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285113600000",
"number": "1801996392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 130",
"city": "RATCLIFF",
"state": "AR",
"postal_code": "729510130",
"telephone_number": "479-635-5300",
"fax_number": "479-635-2010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9755 W STATE HIGHWAY 22",
"city": "RATCLIFF",
"state": "AR",
"postal_code": "72951",
"telephone_number": "479-635-5300",
"fax_number": "479-635-2010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUYER",
"first_name": "MICHAEL",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-24",
"last_updated": "2010-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "E1081",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100081020B",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137012001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ratcliff, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.