Individual provider Active NPI

Richard B. Guyer, PA

  • Medical Physician Assistant
  • Auburn, ME
National Provider Identifier
1992721062
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA86 Issued in ME
Practice address
600 Center St
Auburn, ME 04210-6311
Phone
(207) 955-5565
Fax
(207) 955-5572
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA86 ME Primary

Addresses

Primary practice location

600 Center St
Auburn, ME 04210-6311

Mailing address

360 US Highway 1 Byp Unit 102
Portsmouth, NH 03801-7105
Phone (603) 410-6700

Other practice location 1

6830 Gall Blvd
Zephyrhills, FL 33542-2503
Phone (813) 783-3118

Other identifiers 1

IdentifierTypeStateIssuer
292139100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180608001977 ME Practitioner - Physician Assistant 5092758342 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1979
Medicare assignment
May accept Medicare assignment
Group practices
Convenientmd - FFS UC LLCGroup PAC ID 5193186492, 397 clinicians
Gray Urgent Care LLCGroup PAC ID 0446647747, 7 clinicians

Practice addresses (Care Compare)

193 Bath Rd
Brunswick, ME 04011-2607
Phone (207) 424-2272

6 Turnpike Acres Rd
Gray, ME 04039-9432
Phone (207) 657-1165

600 Ctr St
Auburn, ME 04210-6311
Phone (207) 955-5565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA86MEMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Convenientmd - FFS UC LLC CurrentSince Jul 24, 2024 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Jul 24, 2024 Accepting new patients

Locations

600 Center St
Auburn, ME 04210
Phone (207) 783-8951

193 Bath Rd
Brunswick, ME 04011
Phone (207) 424-2272

191 Marginal Way
Portland, ME 04101
Phone (207) 517-3838

950 Main St
Westbrook, ME 04092
Phone (207) 517-3800

360 US Highway 1 Byp
Unit 102
Portsmouth, NH 03801
Phone (603) 410-6700

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: richard.guyer.1@26504.direct.athenahealth.com

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1992721062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 US HIGHWAY 1 BYP UNIT 102",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017105",
            "telephone_number": "603-410-6700",
            "fax_number": "603-319-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CENTER ST",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042106311",
            "telephone_number": "207-955-5565",
            "fax_number": "207-955-5572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6830 Gall Blvd",
            "address_purpose": "LOCATION",
            "city": "Zephyrhills",
            "state": "FL",
            "postal_code": "335422503",
            "country_code": "US",
            "telephone_number": "813-783-3118",
            "fax_number": "813-355-5036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUYER",
        "first_name": "RICHARD",
        "middle_name": "B.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ME",
            "license": "PA86",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292139100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, ME

Sources for this page

Verify at the official NPI Registry.