Willard Leo McGuire, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA01008 Issued in TX

Practice address

1102 Dove LN
Burkburnett, TX 76354-2860

Phone

(940) 569-3399

NPI assigned

Feb 26, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mr. Bill McGuire Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538295167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 DOVE LN",
            "city": "BURKBURNETT",
            "state": "TX",
            "postal_code": "763542860",
            "telephone_number": "940-569-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 DOVE LN",
            "city": "BURKBURNETT",
            "state": "TX",
            "postal_code": "763542860",
            "telephone_number": "940-569-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGUIRE",
        "first_name": "WILLARD",
        "middle_name": "LEO",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA01008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PA01008",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BILL",
            "last_name": "MCGUIRE",
            "prefix": "MR.",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Patricia Anne Lamb, M.A., CCC-SLP
• Zerlina Ruth Leavelle, CPHT
• Angela L Leon, FNP
• Manna Haven Care Services
• Manna Haven Care Services, Inc
• Heather Irene McLain, CERT BIRTH DOULA
• Morgan B. Moore, O.D.
• Nocona Hospital District (Avir at Burkburnett)
• Nocona Hospital District (Sheridan Medical Lodge)
• Steven Offield, LAT

• Medical Physician Assistant in Burkburnett, TX
• Providers in Burkburnett, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.