Individual provider Active NPI

Stephen R Guy, MD

  • Obstetrics & Gynecology Physician
  • Vandalia, OH
National Provider Identifier
1982660171
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35048249 Issued in OH
Practice address
900 S Dixie Dr
Suite 40
Vandalia, OH 45377-2657
Phone
(937) 890-6644
Fax
(937) 890-1726
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35048249 OH Primary

Addresses

Primary practice location

900 S Dixie Dr
Suite 40
Vandalia, OH 45377-2657

Mailing address

900 S Dixie Dr
Suite 40
Vandalia, OH 45377-2657
Phone (937) 890-6644

Other identifiers 1

IdentifierTypeStateIssuer
0536290MedicaidOH

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
I20051206000151 OH Practitioner - Obstetrics/Gynecology 6204856263 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35048249OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Specialists Inc Obstetrics & Gynecology Current Accepting new patients
Premier Health Specialists Inc CurrentSince Apr 1, 2007 Accepting new patients
Premier Health Specialists Inc CurrentSince Apr 1, 2007 Accepting new patients
Wright State Physicians Inc Obstetrics & Gynecology PastSince Jan 1, 2004 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

9445 N Dixie Dr
Dayton, OH 45414
Phone (937) 208-6810

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

3170 Kettering Blvd
Bldg B3
Moraine, OH 45439
Phone (937) 991-3188

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

900 S Dixie Dr
Ste 40
Vandalia, OH 45377
Phone (937) 890-6644

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384387200000",
    "number": "1982660171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S DIXIE DR",
            "address_2": "SUITE 40",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453772657",
            "telephone_number": "937-890-6644",
            "fax_number": "937-890-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S DIXIE DR",
            "address_2": "SUITE 40",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453772657",
            "telephone_number": "937-890-6644",
            "fax_number": "937-890-1726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUY",
        "first_name": "STEPHEN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2013-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35048249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0536290",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vandalia, OH

Sources for this page

Verify at the official NPI Registry.