Active NPI
Brian M Guindon, PA
- Physician Assistant
- Escanaba, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601004870
- Practice address
- 610 S Lincoln Rd
Escanaba, MI 49829-1215 - Phone
- (906) 786-6488
- Fax
- (906) 786-6409
- NPI assigned
- Jan 12, 2007
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601004870 | MI | Primary |
Addresses
Primary practice location
610 S Lincoln Rd
Escanaba, MI 49829-1215
Mailing address
PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7210
Other practice location 1
106 S School Rd
Daggett, MI 49821-8555
Phone (906) 753-2155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5601004870 | Other | MI | MICHIGAN LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
440 Woodward Ave
Iron Mountain, MI 49801-4631
Phone (906) 776-9040
610 S Lincoln Rd
Bellin Health
Escanaba, MI 49829-1215
Phone (906) 786-6488
Hospital & facility affiliations
- Osf St Francis Hospital and Medical Group
- Bellin Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601004870 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oconto Hospital & Medical Center, Inc. | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Northern Michigan Emergenc Physicians, LLP | Physician Assistant | Current | Accepting new patients |
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Past | Accepting new patients |
Locations
106 S School Rd
Daggett, MI 49821
Phone (906) 753-2155
126 S 25th St
#B
Escanaba, MI 49829
Phone (906) 233-9500
610 S Lincoln Rd
Escanaba, MI 49829
Phone (906) 786-6488
3401 Ludington St
Escanaba, MI 49829
Phone (906) 786-3311
440 Woodward Ave
Iron Mountain, MI 49801
Phone (906) 776-9040
1100 10th St
Menominee, MI 49858
Phone (906) 863-2256
820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100
Interoperability endpoints
- bguindon917089@direct.emplifyhealth.org
- bguindon173105@direct.thedacare.org
Organizations & group practices 8
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.
-
- Cardiovascular Disease Physician
- Crystal Falls, MI
- NPI 1376649509
-
- Rural Health Clinic/Center
- Menominee, MI
- NPI 1356799969
-
- Emergency Medicine Physician
- Escanaba, MI
- NPI 1417972183
-
- Emergency Medicine Physician
- Sault Sainte Marie, MI
- NPI 1922105113
Physician Assistant
-
- Family Medicine Physician
- Green Bay, WI
- NPI 1033172390
-
- Cardiovascular Disease Physician
- Green Bay, WI
- NPI 1467771535
-
- Rural Health Clinic/Center
- Suring, WI
- NPI 1104418037
-
- Family Medicine Physician
- Brillion, WI
- NPI 1962464784
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Escanaba, MI
- NPI 1922058551
-
- General Acute Care Hospital
- Green Bay, WI
- NPI 1891740585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695686400000",
"number": "1952451569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22487",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543052487",
"telephone_number": "920-445-7210",
"fax_number": "920-445-7289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 S LINCOLN RD",
"city": "ESCANABA",
"state": "MI",
"postal_code": "498291215",
"telephone_number": "906-786-6488",
"fax_number": "906-786-6409"
}
],
"practiceLocations": [
{
"address_1": "106 S School Rd",
"address_purpose": "LOCATION",
"city": "Daggett",
"state": "MI",
"postal_code": "498218555",
"country_code": "US",
"telephone_number": "906-753-2155",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUINDON",
"first_name": "BRIAN",
"middle_name": "M",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-12",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601004870",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MICHIGAN LICENSE #",
"identifier": "5601004870",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Escanaba, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.