Provider Demographics
NPI:1518160266
Name:GUFFREY, DANIELLE B (MD)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:B
Last Name:GUFFREY
Suffix:
Gender:F
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:PO BOX 536
Mailing Address - Street 2:
Mailing Address - City:GRANVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43023-0536
Mailing Address - Country:US
Mailing Address - Phone:614-403-7949
Mailing Address - Fax:614-846-3824
Practice Address - Street 1:153 VALLEY RUN PL
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-7822
Practice Address - Country:US
Practice Address - Phone:614-403-7949
Practice Address - Fax:614-846-3824
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-08
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35094727208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0050419Medicaid
OH0050419Medicaid