MEGAN CONNICK (NPI# 1104841576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104841576 |
Entity Type | Individual |
Full Name | MEGAN CONNICK |
Credential | M.D. |
Practice Address |
470 Chadbourne Rd Ste A Fairfield CA 94534-9620 |
Mailing Address |
1100 Trancas St Ste 300 Napa CA 94558-2921 |
Practice Telephone | 7074198988 |
Practice Fax Number | 7072541779 |
Mailing Telephone | 7072541774 |
Mailing Fax Number | 7072577821 |
Enumeration Date | 2006-07-13 |
Last Update Date | 2018-02-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
G141047 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 205020316 | 05 |
Street Address |
470 CHADBOURNE RD STE A |
City | FAIRFIELD |
State | CA |
Zip Code | 94534-9620 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821640616 | Robin A Mcintyre | Nurse Practitioner | 470 Chadbourne Rd Ste A, Fairfield, CA 94534-9620 | 2019-07-11 |
1487136081 | Olinda Plancarte | Registered Nurse | 470 Chadbourne Rd Ste A, Fairfield, CA 94534-9620 | 2018-08-30 |
1114397882 | Cristina Ramos | Social Worker | 470 Chadbourne Rd Ste A, Fairfield, CA 94534-9620 | 2015-10-06 |
1750778148 | Wanika Brown | Counselor | 470 Chadbourne Rd Ste A, Fairfield, CA 94534-9620 | 2015-04-23 |
1801235544 | Laura Boyd | Pediatrics | 470 Chadbourne Rd Ste A, Fairfield, CA 94534-9620 | 2013-06-16 |
1215236443 | Jason Andrew Booth | Family Medicine | 470 Chadbourne Rd Ste A, Fairfield, CA 94534-9620 | 2011-03-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558922187 | Solano County Superintendent of Schools | Marriage & Family Therapist | 5100 Business Center Drive, Fairfield, CA 94534 | 2019-06-25 |
1205312436 | John Will Hubbard Iv | Behavioral Analyst | 3426 Glen Ellen Dr, Fairfield, CA 94534 | 2018-07-11 |
1508358003 | Advent Healthcare Services LLC | Hospice Care, Community Based | 1300 Oliver Rd Ste 350, Fairfield, CA 94534 | 2018-05-31 |
1447770268 | Nicole Valentine | Social Worker | 1300 Oliver Rd., 193, Fairfield, CA 94534 | 2017-06-22 |
1700339843 | Lap of Love | Point of Service | 3286 Inwood Place, Fairfield, CA 94534 | 2016-07-25 |
1013398577 | Paul Severino Bright | Marriage & Family Therapist | 1771 Barton Dr, Fairfield, CA 94534 | 2015-06-10 |
1376920264 | Darshan Patel | Internal Medicine | 4520 Business Center Dr, Fairfield, CA 94534 | 2015-04-30 |
1972906048 | Kathleen Therese Omeara | Psychologist | 4416 Starflower Ct., Fairfield, CA 94534 | 2014-10-03 |
1689090391 | Solano Diagnostics Imaging Medical Group | Radiology | 4500 Business Center Drive, Fairfield, CA 94534 | 2014-03-06 |
1174953368 | Alice Lane Therrell | Registered Nurse | 4160 Suisun Valley Rd #132, Fairfield, CA 94534 | 2013-11-25 |
Find all providers in zip 94534 |
Taxonomy Code | 2080P0208X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Infectious Diseases |
A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104243666 | Leila Caroline Aurora Posch | Pediatrics | 4650 W Sunset Blvd # 51, Los Angeles, CA 90027-6062 | 2014-03-23 |
1164773909 | Beatriz Larru | Pediatrics | 3701 Wilshire Boulevard, Suite #600, Los Angeles, CA 90010-2814 | 2012-09-19 |
1700146818 | William V La Via | Pediatrics | 654 Palmera Ave, Pacific Palisades, CA 90272-3356 | 2012-05-22 |
1114299757 | Henry R Shinefield | Pediatrics | 1858 N Beverly Dr, Beverly Hills, CA 90210-1611 | 2012-01-28 |
1346541026 | Despina G Contopoulos-ioannidis | Pediatrics | 300 Pasteur Drive; Room G312, Stanford Univ Sch.med; Dept Pediatrics, Div. Infect.dis, Stanford, CA 94305 | 2010-11-11 |
1942478524 | Pia S Pannaraj | Pediatrics | 4650 Sunset Blvd., Ms#51, Children's Hospital Los Angeles, Los Angeles, CA 90027 | 2008-02-15 |
1790867174 | Margaret E Feeney | Pediatrics | 1001 Potrero Ave., Building 3, Room 525, Ucsf Division of Experimental Medicine, San Francisco, CA 94110-3518 | 2006-10-19 |
1558441428 | Andrew Michael Wiesenthal | Pediatrics | 555 Mission St, C/o Deloitte Consulting, LLP, San Francisco, CA 94105-0920 | 2006-10-16 |
1164511002 | Carol A Glaser | Pediatrics | 500 Parnassus Ave # 0136, San Francisco, CA 94143-2203 | 2006-10-11 |
1154429793 | Michael N Neely | Pediatrics | 1640 Marengo St, Hra 300, Los Angeles, CA 90033-1036 | 2006-09-20 |
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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.