Individual provider Active NPI

Abdirizak Hersi Guled

  • Contractor
  • Dublin, OH
National Provider Identifier
1972308351
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
SN498611 Issued in OH
Practice address
6278 Cherylbrook LN
Dublin, OH 43017-1900
Phone
(614) 260-3477
NPI assigned
Feb 18, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 146N00000X SN498611 OH
Driver 172A00000X SN498611 OH
Chore ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 372500000X SN498611 OH
Adult CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 372600000X SN498611 OH
Attendant Care Provider 3747A0650X SN498611 OH
ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171W00000X SN498611 OH Primary

Addresses

Primary practice location

6278 Cherylbrook LN
Dublin, OH 43017-1900

Mailing address

6278 Cherylbrook LN
Dublin, OH 43017-1900
Phone (614) 260-3477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SN498611OHMDBasic Emergency Medical Technician

NPI Registry JSON

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1972308351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6278 CHERYLBROOK LN",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430171900",
            "telephone_number": "614-260-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6278 CHERYLBROOK LN",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430171900",
            "telephone_number": "614-260-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULED",
        "first_name": "ABDIRIZAK",
        "middle_name": "HERSI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medical Technician, Basic",
            "state": "OH",
            "license": "SN498611",
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "OH",
            "license": "SN498611",
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": "OH",
            "license": "SN498611",
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": "OH",
            "license": "SN498611",
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "OH",
            "license": "SN498611",
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": "OH",
            "license": "SN498611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.