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JACOB LOGAN GUIMOND DO
NPI 1801642103
Obstetrics & Gynecology in Southfield, MI

Active since April 26, 2024PECOS Enrolled
22250 PROVIDENCE DR STE 700, SOUTHFIELD, MI 48075(248) 849-3401(248) 849-4106 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 16, 2026, Apr 26, 2024 (2 updates tracked since 2024).

About Jacob Logan Guimond Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB LOGAN GUIMOND DO (NPI 1801642103) is an individual obstetrics & gynecology provider in Southfield, Michigan, licensed in Michigan (5151017915) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801642103
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameJACOB LOGAN GUIMONDCredential: DO
Location Address22250 PROVIDENCE DR STE 700Southfield, MI 48075-6215
Mailing Address22250 Providence Dr Ste 700Southfield, MI 48075-6215 · (248) 849-3401 · Fax (248) 849-4106
Phone(248) 849-3401
Fax(248) 849-4106
Sole ProprietorNo
Enumeration DateApril 26, 2024
Last NPPES UpdateApril 16, 20262 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
✔ NPI 1801642103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MI · 5151017915
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
22250 PROVIDENCE DR STE 700, Southfield, MI 48075
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Logan Guimond Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48075 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHELBY OLIVERIO DO
Obstetrics & Gynecology
22250 PROVIDENCE DR STE 700
SOUTHFIELD, MI 48075
Oakland County (248) 849-3401
MEGAN WHITNEY
Student in an Organized Health Care Education/Training Program
22250 PROVIDENCE DR STE 700
SOUTHFIELD, MI 48075
Oakland County (248) 849-3401
MADELEINE CLAIRE NICHOLAS DO
Obstetrics & Gynecology
22250 PROVIDENCE DR STE 700
SOUTHFIELD, MI 48075
Oakland County (248) 849-3401
ASHLEY CLAIRE BRINKEL DO
Obstetrics & Gynecology
22250 PROVIDENCE DR STE 700
SOUTHFIELD, MI 48075
Oakland County (248) 849-3401
AKILA NALLABELLI
Obstetrics & Gynecology
22250 PROVIDENCE DR STE 700
SOUTHFIELD, MI 48075
Oakland County (248) 849-3401
SYDNEY RIGGS DO
Obstetrics & Gynecology
22250 PROVIDENCE DR STE 700
SOUTHFIELD, MI 48075
Oakland County (248) 849-3401
KALLIE JIMMERSON
Obstetrics & Gynecology
22250 PROVIDENCE DR STE 700
SOUTHFIELD, MI 48075
Oakland County (248) 849-3401
DR. LAURA ELIZABETH RAMAKER DO, ATC
Obstetrics & Gynecology
22250 PROVIDENCE DR STE 700
SOUTHFIELD, MI 48075
Oakland County (248) 849-3401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Guimond's NPI number?

The NPI number for Jacob Guimond is 1801642103. It was assigned to this individual provider in the NPPES registry on April 26, 2024.

Where is Jacob Guimond located?

Jacob Guimond practices at 22250 Providence Dr Ste 700, Southfield, MI 48075. The listed phone number is (248) 849-3401.

What is Jacob Guimond's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Jacob Guimond enrolled in Medicare?

Yes. Jacob Guimond is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Guimond was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.