Individual provider Active NPI

John Kenneth McGuire

  • Family Nurse Practitioner
  • Damascus, OH
National Provider Identifier
1245722156
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP.022754 Issued in OH
Practice address
28885 State Route 62
Damascus, OH 44619
Phone
(330) 537-4661
Fax
(330) 537-4482
NPI assigned
Jun 6, 2018
Last updated
Jun 6, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP.022754 OH Primary

Addresses

Primary practice location

28885 State Route 62
Damascus, OH 44619

Mailing address

PO Box 429
East Palestine, OH 44413-0429
Phone (330) 426-9484

Other practice location 1

132 N Market St
East Palestine, OH 44413-2019
Phone (330) 426-9484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180629002180 OH Practitioner - Nurse Practitioner 2567718745 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Youngstown, LLCGroup PAC ID 9234318270, 116 clinicians

Practice addresses (Care Compare)

1044 Belmont Ave
Youngstown, OH 44504-1006

605 E Ohio Ave
Sebring, OH 44672-1643
Phone (330) 537-4661

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP.022754OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Youngstown, LLC CurrentSince Dec 29, 2019 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 1, 2022 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 1, 2022 Accepting new patients
Mercy Health Physicians Youngstown LLC CurrentSince Dec 29, 2019 Accepting new patients

Locations

107 Royal Birkdale Dr
Ste A
Columbiana, OH 44408
Phone (330) 482-9350

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

132 N Market St
East Palestine, OH 44413
Phone (330) 337-3332

605 E Ohio Ave
Sebring, OH 44672
Phone (330) 537-4661

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

250 E Federal St
Fl 4
Youngstown, OH 44503
Phone (330) 884-7010

Interoperability endpoints

  • Direct secure messaging: jmcguire35443@direct.bsmhealth.org

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1245722156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "EAST PALESTINE",
            "state": "OH",
            "postal_code": "444130429",
            "telephone_number": "330-426-9484",
            "fax_number": "330-426-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28885 STATE ROUTE 62",
            "city": "DAMASCUS",
            "state": "OH",
            "postal_code": "44619",
            "telephone_number": "330-537-4661",
            "fax_number": "330-537-4482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "132 N Market St",
            "address_purpose": "LOCATION",
            "city": "East Palestine",
            "state": "OH",
            "postal_code": "444132019",
            "country_code": "US",
            "telephone_number": "330-426-9484",
            "fax_number": "330-426-2248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGUIRE",
        "first_name": "JOHN",
        "middle_name": "KENNETH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "CNP.022754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Damascus, OH

Sources for this page

Verify at the official NPI Registry.