KELLY WAYNE MCGUIRE (NPI# 1023063682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023063682 |
| Entity Type | Individual |
| Full Name | KELLY WAYNE MCGUIRE |
| Credential | M.D. |
| Practice Address |
6301 University Commons Suite 310 South Bend IN 46635-1571 |
| Mailing Address |
6301 University Commons Ste 230 South Bend IN 46635-1571 |
| Practice Telephone | 5742321471 |
| Practice Fax Number | 5742398511 |
| Mailing Telephone | 5742512100 |
| Mailing Fax Number | 5742512151 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2011-09-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 01060309 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200523290 | 05 | |
| IN | BCBS | 000000621003 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851805543 | Kelly Mcguire | Counselor | 443 Abbott Rd, Paramus, NJ 07652-2103 | 2017-11-17 |
| 1386959369 | Kelly M Mcguire | Surgery | 1110 Clay Ave, Dunmore, PA 18510-1137 | 2010-08-13 |
| 1235397696 | Kelly Katherine Mcguire | Psychiatry & Neurology | 236 Gannett Dr, South Portland, ME 04106-6913 | 2008-06-01 |
| 1578769469 | Kelly Mcguire | Physical Therapy Assistant | 2135 General Booth Blvd Ste 152, Virginia Beach, VA 23454-5881 | 2007-06-26 |
| 1053933598 | Kelly Laine Mcguire | Nurse Practitioner | 801 W 8th St, Coffeyville, KS 67337-4109 | 2020-05-07 |
| 1144798034 | Kelly John Mcguire | Counselor | 5125 N Market St, Spokane, WA 99217-6131 | 2018-11-08 |
| 1528486248 | Kelly Mcguire | Obstetrics & Gynecology | 1500 Associates Dr, Dubuque, IA 52002 | 2014-03-31 |
| 1003103375 | Kelly M Mcguire | Speech-Language Pathologist | 11930 Whitmore Lake Rd, Suite L-m, Whitmore Lake, MI 48189-9153 | 2011-07-06 |
| Street Address |
6301 UNIVERSITY COMMONS SUITE 310 |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46635-1571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235132903 | Thomas Gerard Akre | Orthopaedic Surgery | 6301 University Commons, Ste 100, South Bend, IN 46635-1571 | 2005-05-24 |
| 1548652886 | Susan Snider | Nurse Practitioner | 6301 University Commons, Suite 350, South Bend, IN 46635-1571 | 2015-02-24 |
| 1497146252 | Donna Joan Harrison | Obstetrics & Gynecology | 6301 University Commons, Suite 310, South Bend, IN 46635-1571 | 2015-02-13 |
| 1295139723 | Allied Physicians of Michiana, LLC | Durable Medical Equipment & Medical Supplies | 6301 University Commons, Suite 100, South Bend, IN 46635-1571 | 2014-10-13 |
| 1679819817 | Linda Charlebois | Audiologist | 6301 University Commons, Suite 360, South Bend, IN 46635-1571 | 2012-12-17 |
| 1902141237 | Randy Joseph Brush | Physician Assistant | 6301 University Commons, Suite 210, South Bend, IN 46635-1571 | 2012-11-27 |
| 1588916258 | Allied Physicians of Michiana, LLC | Obstetrics & Gynecology | 6301 University Commons, Suite 230, South Bend, IN 46635-1571 | 2012-10-05 |
| 1487931184 | Raymond Rene Lucio Canda | Physical Therapist | 6301 University Commons, Suite 403, South Bend, IN 46635-1571 | 2011-11-08 |
| 1265714778 | Allied Physicians of Michiana, LLC | Occupational Therapist | 6301 University Commons, Suite 430, South Bend, IN 46635-1571 | 2011-09-12 |
| 1366723769 | Melissa Gutierrez | Physical Therapist | 6301 University Commons, Suite 430, South Bend, IN 46635-1571 | 2011-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295078228 | Michael Pfeiffer | Otolaryngology | 6301 University Commons Ste 360, South Bend, IN 46635 | 2013-03-27 |
| 1679833438 | Whitney Moore | Physical Therapy Assistant | 2012 Ironwood Circle, Suite 230, Circle Centre Building, South Bend, IN 46635 | 2012-05-25 |
| 1992917637 | Elly May Wynia | Social Worker | 53700 Generations Drive, Suite 200, South Bend, IN 46635 | 2007-05-04 |
| 1891917282 | Lifetime Dental Careof Indiana, PC | Dentist | 1605 North Ironwood, South Bend, IN 46635 | 2007-05-03 |
| 1750502878 | Tyrone Arteese Armstead | Pharmacist | 3355 Douglas Rd, South Bend, IN 46635 | 2007-05-02 |
| 1013033794 | Bradley Richard Swanson | Dentist | 54505 26th Street, Unit E, South Bend, IN 46635 | 2007-03-22 |
| 1225185739 | Michael J. O'connell D.o. Inc | Family Medicine | 17960 Cleveland Road, South Bend, IN 46635 | 2007-01-05 |
| 1346300365 | Chad Fulton Harrington | Dentist | 3340 Douglas Rd., South Bend, IN 46635 | 2006-12-11 |
| 1346313236 | Dr Shawn R Long Dds PC | Dentist | 16329 State Rd 23, South Bend, IN 46635 | 2006-11-16 |
| 1134206576 | Kearn David Hinchman | Psychiatry & Neurology | 53779 Generations Drive, Suite 1, South Bend, IN 46635 | 2006-11-01 |
| Find all providers in zip 46635 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073714549 | Zhiquan Zhao | Obstetrics & Gynecology | 6301 University Commons Ste 310, Ob/gyn Office, South Bend, IN 46635-1479 | 2007-05-30 |
| 1669424792 | Christopher S Norborg | Obstetrics & Gynecology | 515 N Lafayette Blvd, South Bend, IN 46601-1003 | 2006-05-17 |
| 1598739492 | Elaine Marie Carroll | Obstetrics & Gynecology | 100 Navarre Pl Ste 4410, South Bend, IN 46601 | 2006-02-15 |
| 1174503866 | Ted M. Roth | Obstetrics & Gynecology | 621 Memorial Dr Ste 302, South Bend, IN 46601-1073 | 2006-01-19 |
| 1508857806 | Ilana Tamir Kirsch | Obstetrics & Gynecology | 6301 University Commons Ste 210, South Bend, IN 46635 | 2005-11-04 |
| 1477903391 | Mackenzie Austgen | Obstetrics & Gynecology | 515 N Lafayette Blvd, South Bend, IN 46601-1003 | 2016-06-22 |
| 1497146252 | Donna Joan Harrison | Obstetrics & Gynecology | 6301 University Commons, Suite 310, South Bend, IN 46635-1571 | 2015-02-13 |
| 1386063345 | Erin Hendricks Krizman | Obstetrics & Gynecology | 6301 University Commons Ste 310, South Bend, IN 46635 | 2014-04-07 |
| 1043654361 | Sara A Baumgartner | Obstetrics & Gynecology | 6301 University Commons Ste 310, South Bend, IN 46635-1479 | 2013-04-18 |
| 1164764890 | Jessica Marie Basham | Obstetrics & Gynecology | 515 N Lafayette Blvd, South Bend, IN 46601-1003 | 2013-03-20 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46635 |
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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.