Individual provider Active NPI

Mina Lourdes T Guzman, M.D.

  • Anesthesiology Physician
  • Groveport, OH
National Provider Identifier
1952390064
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
35072875 Issued in OH
Practice address
3964 Hamilton Square Blvd
Groveport, OH 43125-9119
Phone
(614) 834-6800
NPI assigned
Oct 20, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 35072875 OH Primary

Addresses

Primary practice location

3964 Hamilton Square Blvd
Groveport, OH 43125-9119

Mailing address

4367 Bennington Creek LN
Groveport, OH 43125-8900
Phone (614) 916-3916

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
I20050921000104 OH Practitioner - Anesthesiology 6608854740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35072875OHMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mask Anesthesia Consultants Inc Anesthesiology CurrentSince Jan 9, 2018 Accepting new patients
Anesthesia Group Practice, Inc Anesthesiology CurrentSince Feb 1, 2022 Accepting new patients
Fairfield Anesthesia Consultants Inc Anesthesiology Past Accepting new patients
Anesthesia Healthcare Partners, Inc. Anesthesiology Past Accepting new patients

Locations

275 Taylor Station Rd
Columbus, OH 43213
Phone (614) 566-9983

4845 Knightsbridge Blvd
Ste 110
Columbus, OH 43214
Phone (614) 273-0400

701 Tech Center Dr
Gahanna, OH 43230
Phone (614) 944-4806

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

6520 W Campus Oval
New Albany, OH 43054
Phone (614) 413-2233

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1952390064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4367 BENNINGTON CREEK LN",
            "city": "GROVEPORT",
            "state": "OH",
            "postal_code": "431258900",
            "telephone_number": "614-916-3916",
            "fax_number": "775-599-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3964 HAMILTON SQUARE BLVD",
            "city": "GROVEPORT",
            "state": "OH",
            "postal_code": "431259119",
            "telephone_number": "614-834-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "MINA LOURDES",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-20",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35072875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groveport, OH

Sources for this page

Verify at the official NPI Registry.