Organization Active NPI

Maguire Plastic Surgery, LLC

  • Plastic and Reconstructive Surgery Physician
  • West Monroe, LA
National Provider Identifier
1356672976
Registry record updated Aug 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
023149 Issued in LA
Legal business name
MAGUIRE PLASTIC SURGERY, LLC
Practice address
102 Thomas Rd
Suite 119
West Monroe, LA 71291-7366
Phone
(318) 338-3560
Fax
(318) 338-3564
NPI assigned
Jan 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2010

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

Authorized official

Name
Herbert Stephen Maguire, M.D.
Title
Owner
Phone
(318) 572-3454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X 023149 LA Primary

Addresses

Primary practice location

102 Thomas Rd
Suite 119
West Monroe, LA 71291-7366

Mailing address

102 Thomas Rd
Suite 119
West Monroe, LA 71291-7366
Phone (318) 338-3560

Other identifiers 1

IdentifierTypeStateIssuer
1494950MedicaidLA

National Provider Directory

National Provider Directory

Locations

102 Thomas Rd
Ste 119
West Monroe, LA 71291
Phone (318) 329-8410

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282262400000",
    "number": "1356672976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 THOMAS RD",
            "address_2": "SUITE 119",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712917366",
            "telephone_number": "318-338-3560",
            "fax_number": "318-338-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 THOMAS RD",
            "address_2": "SUITE 119",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712917366",
            "telephone_number": "318-338-3560",
            "fax_number": "318-338-3564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGUIRE PLASTIC SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-21",
        "last_updated": "2010-08-20",
        "status": "A",
        "authorized_official_last_name": "MAGUIRE",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-572-3454",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "LA",
            "license": "023149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1494950",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.