Provider Demographics
NPI:1063404317
Name:MAGUIRE, MICHAEL F (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:F
Last Name:MAGUIRE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4753
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-4753
Mailing Address - Country:US
Mailing Address - Phone:805-687-2424
Mailing Address - Fax:805-687-0885
Practice Address - Street 1:2417 CASTILLO ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-4301
Practice Address - Country:US
Practice Address - Phone:805-687-2424
Practice Address - Fax:805-687-0885
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-22
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG73132207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G731320Medicaid
CA1528226032OtherGROUP NPI
CA1528226032OtherGROUP NPI
CAWG73132DMedicare PIN
CAG73132Medicare UPIN
CA5560080001Medicare NSC