AMANDA MCGUIRE (NPI# 1124470745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124470745 |
| Entity Type | Individual |
| Full Name | AMANDA MCGUIRE |
| Other Name | AMANDA WHEATLEY |
| Credential | DPM |
| Practice Address |
530 Park Ave E Ste 303 Princeton IL 61356-3903 |
| Mailing Address |
530 Park Ave E Princeton IL 61356-2598 |
| Practice Telephone | 8158723035 |
| Practice Fax Number | 8158723019 |
| Mailing Telephone | 8158752811 |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2020-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
135000923 | IL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 016005791 | 05 | |
| IL | PROFESSIONAL LICENSE | 135000923 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 530 Park Ave E, Princeton, IL 61356 | 8158752811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295397743 | Amanda S Mcguire | Physical Medicine & Rehabilitation | 3942 Davis Stuart Rd Ste 3, Ronceverte, WV 24970-0269 | 2019-07-05 |
| 1285118513 | Amanda Erin Mcguire | Occupational Therapist | 4201 Lake Boone Trl, Raleigh, NC 27607-7512 | 2018-09-22 |
| 1326580747 | Amanda Mcguire | Registered Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2016-11-16 |
| 1124409081 | Amanda Mcguire | Case Manager/Care Coordinator | 2135 Malcolm Ave, Newport, AR 72112-3631 | 2015-06-16 |
| Street Address |
530 PARK AVE E STE 303 |
| City | PRINCETON |
| State | IL |
| Zip Code | 61356-3903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417986001 | Mark Wayne Williams Sr. | Surgery | 530 Park Ave E Ste 303, Princeton, IL 61356-3903 | 2006-07-03 |
| 1952877243 | Julia Rackley Perry Memorial Hospital | Clinic/Center | 530 Park Ave E Ste 303, Princeton, IL 61356-3903 | 2018-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548698558 | Shelley Gorenz | Counselor | 1009 S. Main St., Princeton, IL 61356 | 2013-10-30 |
| 1780016626 | Jennifer Phillips | Pharmacist | 610 N. Main St., Princeton, IL 61356 | 2013-08-02 |
| 1477848521 | Princeton Prompt Care LLC | Clinic/Center | 2128 North Main Street, Princeton, IL 61356 | 2011-06-16 |
| 1306014196 | Lifefit Physical Rehab, Ltd. | Clinic/Center | 1225 N. Sixth St., Princeton, IL 61356 | 2008-02-14 |
| 1568669778 | Hawthorne Inn Supportive Living Facility | Assisted Living Facility | 136 N. Sixth St., Princeton, IL 61356 | 2007-06-29 |
| 1720209240 | Michelle Lee Mortensen | Music Therapist | 816 S. First St., Princeton, IL 61356 | 2007-05-01 |
| 1073733465 | Jarred Allen Farrell | Chiropractor | 682 East Peru Street, Princeton, IL 61356 | 2007-04-26 |
| 1952488397 | Donald R Marion | Optometrist | 2 Park Avenue West, Princeton, IL 61356 | 2006-11-01 |
| 1427138247 | Bruce Waldo Shriver | Dentist | 422 E Peru St, Princeton, IL 61356 | 2006-10-16 |
| 1871689612 | Jason A Monroe | Dentist | 334 Backbone Rd East, Princeton, IL 61356 | 2006-10-05 |
| Find all providers in zip 61356 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922096783 | John F Stanoch | Podiatrist | 11 N Harrison St, Princeton, NJ 08540-3502 | 2005-10-06 |
| 1093166076 | Bradley Henry Hoffman | Podiatrist | 401 Rogers St, Princeton, WV 24740-3636 | 2016-06-30 |
| 1447273883 | Elie Chukri Daniel | Podiatrist | 530 Park Ave E, Suite 204, Princeton, IL 61356-3901 | 2006-07-26 |
| 1154355667 | Scott E Runde | Podiatrist | 919 Northland Dr, Princeton, MN 55371-2172 | 2006-07-10 |
| 1437189321 | Anthony P Zarra | Podiatrist | 401 Rogers St, Princeton, WV 24740-3636 | 2006-07-04 |
| 1740227909 | Foot and Ankle Clinic of The Virginias Inc | Podiatrist | 401 Rogers St, Princeton, WV 24740-3636 | 2006-05-31 |
| 1932159704 | James Louis Chianese | Podiatrist | 401 Rogers St, Princeton, WV 24740-3636 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154930485 | Mid America Foot & Ankle Specialist Illinois LLC | Podiatrist | 2003 Montgomery Rd Ste 108109, Aurora, IL 60504-9078 | 2020-07-22 |
| 1265040026 | Northern Illinois Foot & Ankle Specialists, Ltd | Podiatrist | 4121 Fairview Ave Ste 102, Downers Grove, IL 60515-2266 | 2020-07-17 |
| 1316563612 | Jacob Tilsley | Podiatrist | 610 S Maple Ave Ste 2250, Oak Park, IL 60304-1093 | 2020-06-22 |
| 1033738547 | C James Anderson Dpm LLC | Podiatrist | 1000 Eleven S Ste 3a, Columbia, IL 62236-1077 | 2020-04-14 |
| 1386263895 | C James Anderson Dpm LLC | Podiatrist | 717 Insight Ave Ste 100, O Fallon, IL 62269-2193 | 2020-04-14 |
| 1821631367 | Dr Christine Heck PC | Podiatrist | 111 N Wabash Ave Ste 1914, Chicago, IL 60602-2968 | 2019-10-28 |
| 1013562578 | Bishoy Atef Botros | Podiatrist | 820 S Damen Ave Fl 7, Chicago, IL 60612-3728 | 2019-08-01 |
| 1538623947 | Steven B Overpeck Dpm PC | Podiatrist | 25520 S Pheasant Ln Unit K, Channahon, IL 60410-8808 | 2019-01-30 |
| 1366916355 | Center for Foot and Ankle Surgery Ltd | Podiatrist | 654 W Veterans Pkwy Ste D, Yorkville, IL 60560-2510 | 2019-01-14 |
| 1497224950 | Northern Illinois Foot & Ankle Specialists, Ltd | Podiatrist | 1288 S Us Highway 12, Fox Lake, IL 60020-1950 | 2018-11-14 |
| Find all providers with the same taxonomy | ||||
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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.