Active NPI
Matthew Joseph McGuire, CRNA
- Certified Registered Nurse Anesthetist
- Bristol, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 33286
- Practice address
- 350 Blountville Hwy Ste 207
Bristol, TN 37620-1671 - Phone
- (423) 283-0776
- NPI assigned
- Sep 27, 2020
- Last updated
- Feb 13, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 33286 | TN | Primary |
| Registered Nurse | 163W00000X | 1140601 | KY |
Addresses
Primary practice location
350 Blountville Hwy Ste 207
Bristol, TN 37620-1671
Mailing address
3503 Templeton CT
Louisville, KY 40214-3841
Phone (502) 299-6392
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, CA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 W Mineral King Ave
Visalia, CA 93291-6237
Phone (559) 624-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1140601 | KY | MD | Registered Nurse |
| 33286 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Anesthesia PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Oak Creek Anesthesia Services, Inc. | Current | Accepting new patients | |
| East Tennessee Ambulatory Surgery Center LLC | Current | Accepting new patients |
Locations
400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001
1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451
350 Blountville Hwy
Ste 207
Bristol, TN 37620
Phone (423) 968-2772
10415 Wallace Alley St
Kingsport, TN 37663
Phone 4233900451 ext. 00451
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Visalia, CA
- NPI 1619589512
-
- Anesthesiology Physician
- Kingsport, TN
- NPI 1538174974
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Johnson City, TN
- NPI 1659360071
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kaweah Health Medical Center
- General Acute Care Hospital
- Visalia, CA
- NPI 1588663769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676246400000",
"number": "1427665140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3503 TEMPLETON CT",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402143841",
"telephone_number": "502-299-6392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 BLOUNTVILLE HWY STE 207",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376201671",
"telephone_number": "423-283-0776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGUIRE",
"first_name": "MATTHEW",
"middle_name": "JOSEPH",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-27",
"last_updated": "2023-02-13",
"certification_date": "2023-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "33286",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KY",
"license": "1140601",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.