Individual provider Active NPI

Roberta J Guibord, DO

  • Family Medicine Physician
  • Perrysburg, OH
National Provider Identifier
1881694305
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5868 Issued in OH
Practice address
900 W S Boundary St
Building 3B
Perrysburg, OH 43551-5230
Phone
(419) 872-5556
Fax
(419) 872-5559
NPI assigned
Jul 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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 34.005868 OH
Family Medicine Physician 207Q00000X 5868 OH Primary

Addresses

Primary practice location

900 W S Boundary St
Building 3B
Perrysburg, OH 43551-5230

Mailing address

900 W South Boundary St BLDG 3B
Perrysburg, OH 43551-5243
Phone (419) 872-5556

Other practice location 1

553 E Manhattan Blvd
Toledo, OH 43608-1216
Phone (419) 219-7001

Other identifiers 7

IdentifierTypeStateIssuer
0995839MedicaidOH
930122301OtherOHRAILROAD MEDICARE
RO9364491OtherOHMEDICARE ID # GROUP
000000271434OtherOHANTHEM
810547599067OtherOHCARESOURCE
4436166MedicaidMI
GU4090794OtherOHMEDICARE ID # INDIVIDUAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050421001247 OH Practitioner - Family PracticePractitioner - Emergency Medicine 2668410473 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh-Oh Physicians Group PCGroup PAC ID 1759639693, 67 clinicians

Practice addresses (Care Compare)

10553 Saint Clair Ave
Cleveland, OH 44108-1973
Phone (216) 682-7702

553 E Manhattan Blvd
Toledo, OH 43608-1216
Phone (419) 219-7001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5868OHMDRegistered Dietitian
34.005868OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osh-Oh Physicians Group PC Family Medicine CurrentSince Feb 2, 2026 Accepting new patients
Roberta June Guibord, D.O., Inc. Family Medicine CurrentSince Sep 14, 2006 Accepting new patients
Emergency Physicians of Northwest Ohio Inc. Emergency Medicine Past Accepting new patients
Observation Physicians of Northwest Ohio LLC Emergency Medicine PastSince Mar 21, 2021 Accepting new patients
Oakmont Family Medicine LLC Family Medicine Past Accepting new patients
Oakmont Medical LLC Family Medicine Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

10553 Saint Clair Ave
Cleveland, OH 44108
Phone (216) 682-7702

900 W South Boundary St
Bldg 3B
Perrysburg, OH 43551
Phone (419) 872-1830

Interoperability endpoints

  • Direct secure messaging: roberta.guibord.1@12091.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12091/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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 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": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1881694305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W SOUTH BOUNDARY ST BLDG 3B",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515243",
            "telephone_number": "419-872-5556",
            "fax_number": "419-872-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W S BOUNDARY ST",
            "address_2": "BUILDING 3B",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515230",
            "telephone_number": "419-872-5556",
            "fax_number": "419-872-5559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "553 E Manhattan Blvd",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436081216",
            "country_code": "US",
            "telephone_number": "419-219-7001",
            "fax_number": "567-316-6462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUIBORD",
        "first_name": "ROBERTA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-27",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.005868",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "5868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0995839",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "930122301",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID # GROUP",
            "identifier": "RO9364491",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000271434",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "810547599067",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4436166",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID # INDIVIDUAL",
            "identifier": "GU4090794",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

Verify at the official NPI Registry.