Stephanie Louise Maguire, P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

200059 Issued in LA

Practice address

6515 Coliseum Blvd
Alexandria, LA 71303-3735

Phone

(318) 442-9634

NPI assigned

Jul 20, 2006

Last updated

Dec 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN, ND2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Duluth Clinic LTDGroup PAC ID 2567374283, 1,135 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Essentia Health Duluth Hospital, Duluth, MN, CCN 240019
• Essentia Health Hospital, Fargo, ND, CCN 350070

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• The Duluth Clinic LTD

  dba Essentia Health Cloquet Clinic

  • Multi-Specialty Clinic/Center
  • Cloquet, MN
  • NPI 1902563638
  Medicare reassignment Care Compare group
• Innovis Health, LLC

  dba Essentia Health Fargo

  • General Acute Care Hospital
  • Fargo, ND
  • NPI 1215125463
  Medicare reassignment
• Innovis Health LLC

  dba Essentia Health-Osgood Clinic

  • Multi-Specialty Clinic/Center
  • Fargo, ND
  • NPI 1144776576
  NPD
• Innovis Health, LLC

  dba Essentia Health Mid Dakota Bismarck Kirkwood Clinic

  • Multi-Specialty Clinic/Center
  • Bismarck, ND
  • NPI 1447978358
  NPD
• The Duluth Clinic, LTD

  dba Essentia Health Duluth Clinic

  • Multi-Specialty Clinic/Center
  • Duluth, MN
  • NPI 1245278209
  NPD
• The Duluth Clinic, LTD.

  dba Essentia Health Hinckley Pharmacy

  • Community/Retail Pharmacy
  • Hinckley, MN
  • NPI 1245081066
  NPD
• Louisiana State University Health Sciences Center

  dba Allied Health Clinics Early Steps

  • Speech-Language Pathologist
  • Shreveport, LA
  • NPI 1144544529
  NPD (past)
• Louisiana State University Health Sciences Center

  dba LSUHSC-S Department of Anesthesiology

  • Anesthesiology Physician
  • Shreveport, LA
  • NPI 1235174061
  NPD (past)
• Louisiana State University Health Sciences Center

  dba Comphrehensive Clinic of Monroe

  • Family Medicine Physician
  • Monroe, LA
  • NPI 1316119167
  NPD (past)
• Louisiana State University Health Sciences Center

  dba Louisiana State University Health Sciences

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1366614117
  NPD (past)
• Louisiana State University Health Sciences Center

  dba Allied Health Clinics

  • Psychologist
  • Shreveport, LA
  • NPI 1689901316
  NPD (past)
• Louisiana State University Health Sciences Center

  dba HPL Family Medicine Clinics

  • Family Medicine Physician
  • Alexandria, LA
  • NPI 1871765982
  NPD (past)

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

• Innovis Health, LLC

  dba Essentia Health Fargo

  • General Acute Care Hospital
  • Fargo, ND
  • NPI 1215125463
  Care Compare affiliation

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1861412819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5987 STONEGATE DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032199",
            "telephone_number": "318-820-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6515 COLISEUM BLVD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033735",
            "telephone_number": "318-442-9634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Thomas Rd",
            "address_2": "Suite 119",
            "address_purpose": "LOCATION",
            "city": "West Monroe",
            "state": "LA",
            "postal_code": "712917366",
            "country_code": "US",
            "telephone_number": "318-338-3560",
            "fax_number": "318-338-3564",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 E 1st St",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558051901",
            "country_code": "US",
            "telephone_number": "218-786-8364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGUIRE",
        "first_name": "STEPHANIE",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "15113",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "200059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1722995",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Orlando Madrid
• Michelle Magee
• Magic Milestones Therapy, LLC
• Magnolia Health Care Corporation
• Magnolia Pharmacy Services LLC (Magnolia Pharmacy)
• Max Travis Mahaffey, ATC, LAT
• Tracey Girard Mahfouz, FNP-C
• Anastasia Monique Malone
• Leann Rebecca Malone, PHARM.D.
• Tara Craig Malone, FNP

• Physician Assistant in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.
• 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.

Verify at the official NPI Registry.