MEDICARE: THOMAS M MAGUIRE DO

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	207Q00000X	Family Medicine Physician	34-00-6039	OH

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

General Provider Information

NPI Number	:	1457339665
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS M MAGUIRE DO

Provider Business Mailing Address
First Line	:	2055 ALEXANDRIA WAY
Second Line	:
City	:	MACEDONIA
State	:	OH
Zip	:	44056-1998
Country	:	US
Telephone Number	:	330-468-3312
Fax Number	:	888-393-0987

Provider Business Practice Location Address
First Line	:	2055 ALEXANDRIA WAY
Second Line	:
City	:	MACEDONIA
State	:	OH
Zip	:	44056-1998
Country	:	US
Telephone Number	:	330-468-3312
Fax Number	:	888-393-0987

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

Provider Enumeration Date	:	01/06/2006
Last Update Date	:	11/06/2018

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Directions to “ THOMAS M MAGUIRE DO” Practice Location

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