MEGAN NOEL BLACKBURN (NPI# 1023432093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023432093 |
| Entity Type | Individual |
| Full Name | MEGAN NOEL BLACKBURN |
| Other Name | MEGAN NOEL DANIELS |
| Credential | PA-C |
| Practice Address |
1500 Grand Central Ave Ste 115 Parkersburg WV 26105-1079 |
| Mailing Address |
Attn: Megan Blackburn Po Box 449 Marietta OH 45750-0449 |
| Practice Telephone | 3044853627 |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2020-11-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PENDING | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1699 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | LICENSE | 1699 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 800 Pike St Ste 2, Physicians Care Express - Marietta, Marietta, OH 457503507 | 7403733960 | 7403733965 |
| 1006 Washington Blvd Ste G, Physicians Care Express - Belpre, Belpre, OH 457144005 | 7404233240 | 7404010440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678212 | Megan Blackburn | Speech-Language Pathologist | 4281 St Theresa Blvd, Avon, OH 44011-2850 | 2020-01-08 |
| 1043677099 | Megan Blackburn | Specialist/Technologist | 5022 Arbutus Rd, Rockford, IL 61107-2402 | 2016-01-21 |
| 1457334450 | Megan Blackburn | Family Medicine | 525 S Watson Rd Ste 200, Buckeye, AZ 85326 | 2005-11-22 |
| 1154932580 | Megan Christine Blackburn | Pharmacist | 1540 Spring Valley Dr, Huntington, WV 25704-9501 | 2020-08-10 |
| Street Address |
1500 GRAND CENTRAL AVE STE 115 |
| City | PARKERSBURG |
| State | WV |
| Zip Code | 26105-1079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023536596 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 3 Merrywood Lane, Vienna, WV 26105 | 2017-09-06 |
| 1558889196 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 2 Merrywood Lane, Vienna, WV 26105 | 2017-09-05 |
| 1538555206 | Cecilia Velarde Harrington | Internal Medicine | 418 Grand Park Dr Ste 311, Parkersburg, WV 26105 | 2015-04-09 |
| 1568854974 | Kathryn Eileen Epkey | Student in an Organized Health Care Education/Training Program | 411 28th Street, Vienna, WV 26105 | 2015-02-21 |
| 1023120441 | Robert William Azar | Otolaryngology | 1801 Grand Central Ave, Vienna, WV 26105 | 2006-08-31 |
| 1578521407 | John A Stavrakis | Optometrist | 701 Grand Central Ave, Vienna, WV 26105 | 2006-05-02 |
| 1881203149 | Charlene Rein | Dentist | 501 Grand Central Ave, Vienna, WV 26105 | 2020-07-23 |
| 1891355434 | Mohamed Moustafa Meky | Dentist | 501 Grand Central Ave, Parkersburg, WV 26105 | 2019-06-17 |
| 1710469606 | Karen Malee Palmateer | Physician Assistant | 800 Grand Central Mall, Mov Medical Office Building, Suite 10, Vienna, WV 26105 | 2018-09-06 |
| 1568990091 | Jonathon Ray Barbosa Scott | Specialist/Technologist | 1 Campus Drive, Vienna, WV 26105 | 2017-05-29 |
| Find all providers in zip 26105 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851811418 | Brandon Stewart | Physician Assistant | 800 Garfield Ave, Parkersburg, WV 26101-5340 | 2017-06-26 |
| 1528439940 | Pars Neurosurgical Associates | Physician Assistant | 1212 Garfield Ave, Suite 202, Parkersburg, WV 26101-3247 | 2015-10-12 |
| 1295104610 | Theodore R Gover | Physician Assistant | 800 Garfield Ave, Parkersburg, WV 26101-5340 | 2015-09-15 |
| 1134553175 | Shawna Renee Alloway | Physician Assistant | 600 18th Street, Suite 204, Parkersburg, WV 20101 | 2013-08-27 |
| 1144591355 | Amanda B Summerfield | Physician Assistant | 3803 Emerson Ave, Parkersburg, WV 26104-1116 | 2012-01-19 |
| 1679755409 | Shirley Kay Garvin | Physician Assistant | 517 36th St, Parkersburg, WV 26101-1006 | 2007-12-04 |
| 1366519514 | Heidi Danielle Rusk | Physician Assistant | 1212 Garfield Ave, Suite 300, Parkersburg, WV 26101-3247 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386270908 | Bonnie Lynn Blackburn | Physician Assistant | 10 Amalia Dr Ste C5, Buckhannon, WV 26201-2270 | 2020-03-15 |
| 1922638824 | Sara B Johnson | Physician Assistant | 1000 Mon Health Medical Park Dr Ste 1100, Morgantown, WV 26505-1143 | 2020-01-19 |
| 1659835072 | Kristen Nicole Williams | Physician Assistant | 26 Portsmouth Ct N, Falling Waters, WV 25419-1430 | 2019-01-30 |
| 1629588876 | Robert Theodore Hartman | Physician Assistant | 620 National Rd Ste 300, Wheeling, WV 26003-6560 | 2017-10-02 |
| 1366967986 | Terri Leanne Belcher | Physician Assistant | 395 Emily Dr, Clarksburg, WV 26301-5505 | 2017-08-04 |
| 1760937056 | Ryan Aston | Physician Assistant | 58 16th St Fl 4, Wheeling, WV 26003-3660 | 2016-08-17 |
| 1821470113 | Lesley E. Weiss | Physician Assistant | 3200 Maccorkle Seave, Charleston, WV 25304-1227 | 2015-06-23 |
| 1891197323 | Rachelle Lyle Stewart | Physician Assistant | 1500 Terrace St Ste 105, Hinton, WV 25951-9768 | 2014-09-16 |
| 1285043224 | Sarah Gutman Brammer | Physician Assistant | 30 Medical Park Ste 211, Wheeling, WV 26003-6391 | 2014-08-04 |
| 1841603529 | Timothy Douglas | Physician Assistant | 4202 Mccorkle Ave Sw Ste 200, South Charleston, WV 25309-1513 | 2014-06-10 |
| Find all providers with the same taxonomy | ||||
| City | PARKERSBURG |
| Zip Code | 26105 |
Please comment or provide details below to improve the information on MEGAN NOEL BLACKBURN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.