Active NPI
Jennifer L Maguire, M.D.
- Pediatric Adolescent Medicine Physician
- Purcellville, VA
National Provider Identifier
1003872581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 0101230848
- Practice address
- 205 Hirst Rd
Suite 302
Purcellville, VA 20132-6198 - Phone
- (540) 338-7065
- Fax
- (540) 338-9482
- NPI assigned
- Apr 25, 2006
- Last updated
- Apr 16, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 0101230848 | VA | Primary |
Addresses
Primary practice location
205 Hirst Rd
Suite 302
Purcellville, VA 20132-6198
Mailing address
PO Box 17334
Baltimore, MD 21297-1334
Phone (703) 443-6717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101230848 | VA | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trusted Doctors LLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Crestwood Pediatric Associates PC | Past | Accepting new patients | |
| Loudoun Medical Group, PC | Past | Accepting new patients |
Interoperability endpoints
- jennifer.maguire@lmg1.eclinicaldirectplus.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Manassas, VA
- NPI 1629034897
-
- Internal Medicine Physician
- Leesburg, VA
- NPI 1679591440
-
- Pediatrics Physician
- Fairfax, VA
- NPI 1083793525
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429142400000",
"number": "1003872581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17334",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212971334",
"telephone_number": "703-443-6717",
"fax_number": "703-443-8643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 HIRST RD",
"address_2": "SUITE 302",
"city": "PURCELLVILLE",
"state": "VA",
"postal_code": "201326198",
"telephone_number": "540-338-7065",
"fax_number": "540-338-9482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGUIRE",
"first_name": "JENNIFER",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-25",
"last_updated": "2015-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "VA",
"license": "0101230848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Purcellville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.