MEDICARE: MICHAEL F MAGUIRE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	G73132	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1528226032	OTHER	CA	GROUP NPI

General Provider Information

NPI Number	:	1063404317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL F MAGUIRE MD

Provider Business Mailing Address
First Line	:	PO BOX 4753
Second Line	:
City	:	BELFAST
State	:	ME
Zip	:	04915-4753
Country	:	US
Telephone Number	:	805-687-2424
Fax Number	:	805-687-0885

Provider Business Practice Location Address
First Line	:	2417 CASTILLO ST
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93105-4301
Country	:	US
Telephone Number	:	805-687-2424
Fax Number	:	805-687-0885

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	07/14/2023

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