Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justin Guzman

Individual provider Physician Assistant · NPI 1912230954

Justin Guzman is a Physician Assistant in Appleton, Wisconsin. Graduated from Yale University School of Medicine in 2015, 11 years ago. Practices with Thedacare, Incorporated, a 654-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
11
Trained at
Yale University School of Medicine
Licensed in
WI
In the registry since
2009
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2500 E Capitol Dr Ste 2500
Appleton, WI 54911-8735
Phone: (920) 831-5050
Fax: (920) 738-6400
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2105 E Enterprise Ave, Appleton, WI 54913-7862 — (920) 731-3111

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3725 - 23 (WI)

Record details

NPI number1912230954
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 9, 2009
Last updated in NPPESMarch 29, 2018
Mailing address2105 E Enterprise Ave, Appleton, WI 54913-7862

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Thedacare, Incorporated — 654 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Appleton