MEDICARE: MARC ERIC GUAY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	35065172G	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	040015619	OTHER	OH	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770682973
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARC ERIC GUAY MD

Provider Business Mailing Address
First Line	:	25761 LORAIN RD
Second Line	:	3RD FLOOR
City	:	N OLMSTED
State	:	OH
Zip	:	44070
Country	:	US
Telephone Number	:	440-779-1112
Fax Number	:	440-779-0247

Provider Business Practice Location Address
First Line	:	5001 TRANSPORTATION DR # 200
Second Line	:
City	:	SHEFFIELD VILLAGE
State	:	OH
Zip	:	44054-2850
Country	:	US
Telephone Number	:	440-328-3444
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2006
Last Update Date	:	12/07/2020

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Directions to “ MARC ERIC GUAY MD” Practice Location

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