Active NPI
David Francis McGuire, PA-C
- Physician Assistant
- New Bern, NC
National Provider Identifier
1255500062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-01277
- Practice address
- 1040 Medical Park Ave
New Bern, NC 28562-5248 - Phone
- (252) 633-1678
- Fax
- (252) 633-1403
- NPI assigned
- Feb 26, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-01277 | NC | Primary |
Addresses
Primary practice location
1040 Medical Park Ave
New Bern, NC 28562-5248
Mailing address
PO Box 12248
New Bern, NC 28561-2248
Phone (252) 514-6685
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080318000376 | NC | Practitioner - Physician Assistant | 7911083829 | Reassigns benefits to 1 organization |
| I20210825001303 | VA | Practitioner - Physician Assistant | 7911083829 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-01277 | NC | MD | Physician Assistant |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497398400000",
"number": "1255500062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12248",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285612248",
"telephone_number": "252-514-6685",
"fax_number": "252-514-2745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 MEDICAL PARK AVE",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285625248",
"telephone_number": "252-633-1678",
"fax_number": "252-633-1403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGUIRE",
"first_name": "DAVID",
"middle_name": "FRANCIS",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-26",
"last_updated": "2017-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-01277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Bern, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.