Healthcare Provider Details

I. General information

NPI: 1821752502
Provider Name (Legal Business Name): J. MIKE GUILER, MD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2021
Last Update Date: 10/28/2021
Certification Date: 10/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3101 BEAUMONT CENTRE CIR
LEXINGTON KY
40513-1961
US

IV. Provider business mailing address

4101 TATES CREEK CENTRE DR STE 150-A14
LEXINGTON KY
40517-3066
US

V. Phone/Fax

Practice location:
  • Phone: 859-277-5776
  • Fax:
Mailing address:
  • Phone: 859-338-9831
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. J MIKE GUILER
Title or Position: MD
Credential: MD
Phone: 859-338-9831