KELLY WAYNE MCGUIRE M.D. NPI 1023063682

NPI Information

  • NPI: 1023063682
  • Provider Name: KELLY WAYNE MCGUIRE, M.D.
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6301 UNIVERSITY COMMONS
    SUITE 310
    SOUTH BEND, IN
    ZIP 46635
  • Phone: (574) 232-1471

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NPI Details

Kelly Wayne Mcguire, M.D. is an obstetrics gynecology in South Bend, IN. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Kelly Wayne Mcguire, M.D. NPI is 1023063682. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6301 UNIVERSITY COMMONS
SUITE 310
SOUTH BEND, IN
ZIP 46635-571
Phone: (574) 232-1471
Fax: (574) 239-8511

The NPI 1023063682 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 9/6/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology01060309INDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200523290MEDICAIDINDIANA
2I35100MEDICARE UPININDIANA
3735850XMEDICARE PININDIANA
4000000621003OTHERINDIANABCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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