Provider Demographics
NPI:1326031097
Name:MCGUIRE, SUE ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:SUE ANN
Middle Name:
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2215 JACKSON DOWNS BLVD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37214-2300
Mailing Address - Country:US
Mailing Address - Phone:615-467-6178
Mailing Address - Fax:615-467-6180
Practice Address - Street 1:2215 JACKSON DOWNS BLVD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37214
Practice Address - Country:US
Practice Address - Phone:615-467-6178
Practice Address - Fax:615-467-6180
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-26
Last Update Date:2019-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000031539207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
621864397OtherUNITED HEALTHCARE
621864397OtherMED COST PREFERRED
621864397OtherPAN AMERICAN LIFE
4025094OtherTENNCARE SELECT
621864397OtherAARP
621864397OtherCBCS ADMINISTRATORS
621864397OtherGREAT WEST ONE HEALTH
7725067OtherAETNA
1866883OtherFIRST HEALTH
621864397OtherBEECH STREET
621864397OtherWILLIAM C BEELER
621864397OtherCIGNA
4025094OtherBLUE CROSS BLUE SHIELD OF
621864397OtherPHCS PRIVATE HEALTHCARE S
621864397OtherGOLDEN RULE MIDDLETOWN NY
G98850OtherHEALTHSPRING
621864397OtherHUMANA
621864397OtherINDIAN HEALTH SERVICE
621864397OtherCIGNA
G98850Medicare UPIN