NPI
Michael Martin McGuire
NPI 1164931960
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- PA-C, ATC
- Type
- Individual
- Enumeration date
- 2017-09-25
- Last updated
- 2025-12-11
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Specialties
Licenses
- License IN
- Number not in the file
- License NY
- 003657-1
- License IL
- 085.011631
Location
- Practice location
- 670 Pierce Blvd Ste 200
- City
- O Fallon IL
- Postal code
- 62269-2579
- Phone
- (618) 206-2094
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Physician Assistants in O Fallon, IL. 27 with this primary taxonomy in the public file.
Other NPIs in O Fallon, IL. 1,337 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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