Provider Demographics
NPI:1528009016
Name:GUINN, VINCENT LEE (MD)
Entity Type:Individual
Prefix:
First Name:VINCENT
Middle Name:LEE
Last Name:GUINN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3433 AGLER RD
Mailing Address - Street 2:SUITE 2400
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219-3387
Mailing Address - Country:US
Mailing Address - Phone:614-428-5553
Mailing Address - Fax:614-428-5515
Practice Address - Street 1:3433 AGLER RD
Practice Address - Street 2:SUITE 2400
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-3387
Practice Address - Country:US
Practice Address - Phone:614-428-5553
Practice Address - Fax:614-428-5515
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2011-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35061758207RC0001X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHB48464Medicare UPIN