1326031097 NPI number — DR. SUE ANN MCGUIRE MD

Table of content: DR. SUE ANN MCGUIRE MD (NPI 1326031097)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326031097 NPI number — DR. SUE ANN MCGUIRE MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCGUIRE
Provider First Name:
SUE ANN
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326031097
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/29/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2215 JACKSON DOWNS BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NASHVILLE
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37214-2300
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-467-6178
Provider Business Mailing Address Fax Number:
615-467-6180

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2215 JACKSON DOWNS BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NASHVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37214
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-467-6178
Provider Business Practice Location Address Fax Number:
615-467-6180
Provider Enumeration Date:
08/26/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X , with the licence number:  MD0000031539 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 621864397 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 621864397 . This is a "MED COST PREFERRED" identifier . This identifiers is of the category "OTHER".
  • Identifier: 621864397 . This is a "PAN AMERICAN LIFE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4025094 . This is a "TENNCARE SELECT" identifier . This identifiers is of the category "OTHER".
  • Identifier: 621864397 . This is a "AARP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 621864397 . This is a "CBCS ADMINISTRATORS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 621864397 . This is a "GREAT WEST ONE HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7725067 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1866883 . This is a "FIRST HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 621864397 . This is a "BEECH STREET" identifier . This identifiers is of the category "OTHER".
  • Identifier: 621864397 . This is a "WILLIAM C BEELER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 621864397 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4025094 . This is a "BLUE CROSS BLUE SHIELD OF" identifier . This identifiers is of the category "OTHER".
  • Identifier: 621864397 . This is a "PHCS PRIVATE HEALTHCARE S" identifier . This identifiers is of the category "OTHER".
  • Identifier: 621864397 . This is a "GOLDEN RULE MIDDLETOWN NY" identifier . This identifiers is of the category "OTHER".
  • Identifier: G98850 . This is a "HEALTHSPRING" identifier . This identifiers is of the category "OTHER".
  • Identifier: 621864397 . This is a "HUMANA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 621864397 . This is a "INDIAN HEALTH SERVICE" identifier . This identifiers is of the category "OTHER".




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