1497740005 NPI number — DR. SEAN B MCGUINNESS DPM

Table of content: DR. SEAN B MCGUINNESS DPM (NPI 1497740005)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497740005 NPI number — DR. SEAN B MCGUINNESS DPM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCGUINNESS
Provider First Name:
SEAN
Provider Middle Name:
B
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DPM
Provider Gender Code:
M

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:
1497740005
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/24/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
212 HIGBIE LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WEST ISLIP
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11795-2827
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
631-661-7400
Provider Business Mailing Address Fax Number:
631-661-3958

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
212 HIGBIE LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WEST ISLIP
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11795-2827
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-661-7400
Provider Business Practice Location Address Fax Number:
631-661-3958
Provider Enumeration Date:
09/20/2005

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: 213E00000X , with the licence number:  N005167 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: P12581 . This is a "BLUE CROSS/BLUE SHIELD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 20-5783751 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 480020565 . This is a "RAILROAD MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 113261797 . This is a "EMPIRE PLAN (NYS EMPLOYEE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 113261797 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 20-5783751 . This is a "MAGNA CARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 480024842 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: P05167 . This is a "WORKERS COMPENSATION" identifier . This identifiers is of the category "OTHER".
  • Identifier: P04563 . This is a "WORKERS COMPENSATION" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: P2098270 . This is a "OXFORD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: PL8471 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 113261797 . This is a "MAGNACARE INS CO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: CS1042 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".
  • Identifier: P7462 . This is a "EMPIRE BLUE CHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 113261797 . This is a "UNITED HEALTH CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4C3351 . This is a "HEALTHNET" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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