Provider Demographics
NPI:1821752502
Name:J. MIKE GUILER, MD, PLLC
Entity Type:Organization
Organization Name:J. MIKE GUILER, MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:J
Authorized Official - Middle Name:MIKE
Authorized Official - Last Name:GUILER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:859-338-9831
Mailing Address - Street 1:4101 TATES CREEK CENTRE DR STE 150-A14
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40517-3066
Mailing Address - Country:US
Mailing Address - Phone:859-338-9831
Mailing Address - Fax:
Practice Address - Street 1:3101 BEAUMONT CENTRE CIR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40513-1961
Practice Address - Country:US
Practice Address - Phone:859-277-5776
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-28
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & GynecologyGroup - Multi-Specialty