MEDICARE: DR. JAMES KIMBRO MAGUIRE JR. M.D.

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XS0117X	Orthopaedic Surgery of the Spine Physician	15527	TN
2	207X00000X	Orthopaedic Surgery Physician	MD15527	TN

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	200029525	OTHER	TN	RAILROAD MEDICARE

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	3071384	OTHER	TN	BLUE CROSS BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	TN0146	OTHER	TN	JOHN DEERE HEALTHCARE
5	4458538	OTHER	TN	AETNA
6	1195372	OTHER	TN	UNITED HEALTH CARE
7	TN0121	OTHER	TN	JOHN DEERE HEALTHCARE
8	100010625	OTHER	TN	TENNCARE

NPI Number	:	1649247966
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES KIMBRO MAGUIRE JR. M.D.

Provider Business Mailing Address
First Line	:	260 FORT SANDERS WEST BLVD
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37922-3355
Country	:	US
Telephone Number	:	865-769-4500
Fax Number	:	865-769-4557

Provider Business Practice Location Address
First Line	:	260 FORT SANDERS WEST BLVD
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37922-3355
Country	:	US
Telephone Number	:	865-558-4400
Fax Number	:	865-769-4536

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

Provider Enumeration Date	:	03/06/2006
Last Update Date	:	06/22/2017

260 FORT SANDERS WEST BLVD STE 110
KNOXVILLE, TN
37922-3355

Practice Phone: 865-558-4491
Practice Fax: 865-558-4493