Healthcare Provider Details

I. General information

NPI: 1528009016
Provider Name (Legal Business Name): VINCENT LEE GUINN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 07/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3433 AGLER RD SUITE 2400
COLUMBUS OH
43219-3387
US

IV. Provider business mailing address

3433 AGLER RD SUITE 2400
COLUMBUS OH
43219-3387
US

V. Phone/Fax

Practice location:
  • Phone: 614-428-5553
  • Fax: 614-428-5515
Mailing address:
  • Phone: 614-428-5553
  • Fax: 614-428-5515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number35061758
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number35061758
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: