MCGUIRE INTEGRATED MEDICAL GROUP PC (NPI# 1760890024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760890024 |
Entity Type | Organization |
Organization Name | MCGUIRE INTEGRATED MEDICAL GROUP PC |
Practice Address |
2103 W Main St Marion IL 62959-1163 |
Practice Telephone | 6189975000 |
Practice Fax Number | 6189978658 |
Mailing Telephone | 6189975000 |
Mailing Fax Number | 6189978658 |
Enumeration Date | 2014-07-30 |
Last Update Date | 2019-03-06 |
Authorized Official Name | DENNIS RAY MCGUIRE (PRESIDENT) |
Authorized Official Telephone | 6189975000 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 036088228 | IL | Allopathic & Osteopathic Physicians |
Street Address |
2103 W MAIN ST |
City | MARION |
State | IL |
Zip Code | 62959-1163 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902869456 | Mark D Whitehead | Chiropractor | 2103 W Main St, Marion, IL 62959-1163 | 2006-04-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710513486 | Sarah Benitone | Counselor | 11264 Il-37, Marion, IL 62959 | 2020-03-13 |
1528609328 | Patricia E Murphy | Radiology | 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 | 2019-10-02 |
1366007007 | Centerstone of Illinois, Inc | Community/Behavioral Health | 202 S Bentley St, Marion, IL 62959 | 2019-05-08 |
1649752064 | Sydney Seiter | Occupational Therapist | 906 Skyline Suite 100, Marion, IL 62959 | 2018-09-01 |
1497279848 | Brooke Alisa Osman | Licensed Practical Nurse | 11531 Sunderland Road, Marion, IL 62959 | 2017-07-27 |
1912436429 | Joy L. Kee | Social Worker | 509 South Bentley Street, Marion, IL 62959 | 2017-06-08 |
1386181170 | Susan Smothers | Counselor | 1305 West Main Street, Marion, IL 62959 | 2017-01-31 |
1205280922 | Harish Kempegowda | Orthopaedic Surgery | 3331 W Deyoung St Ste 201, Marion, IL 62959 | 2016-04-19 |
1942609227 | Casey Hill | Social Worker | 1604 W. Walnut St., Marion, IL 62959 | 2014-08-22 |
1306252812 | Justin M White | Chiropractor | 1603 W Kimmel, Marion, IL 62959 | 2014-07-03 |
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Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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1538353974 | Heartland Balance and Hearing Center Sc | General Practice | 302 E Deyoung St, Ste 1, Marion, IL 62959-2915 | 2007-08-29 |
1043339286 | Henry S Gindt | General Practice | 1136 N Baldwin Ave, Marion, IN 46952-2536 | 2007-03-28 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.