MEGHAN MARIE ELLDEN (NPI# 1265907521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265907521 |
| Entity Type | Individual |
| Full Name | MEGHAN MARIE ELLDEN |
| Other Name | MEGHAN MARIE CONNELL |
| Credential | PA-C |
| Practice Address |
125 Olde Greenwich Dr Ste 220 Fredericksburg VA 22408-4010 |
| Mailing Address |
Po Box 7942 Fredericksburg VA 22404-7942 |
| Practice Telephone | 5408988001 |
| Mailing Telephone | 5402077742 |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2018-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0110-006446 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
125 OLDE GREENWICH DR STE 220 |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22408-4010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285108340 | Embrace Foster Care, LLC | Foster Care Agency | 10705 Spotsylvania Avenue, Suite 101, Fredricksberg, VA 22408 | 2019-01-11 |
| 1730698689 | Raza N Syed | Driver | 12804 Willow Point Drive, Fredericksburg, VA 22408 | 2017-09-22 |
| 1184149122 | Eve Hope Pendletom | Driver | 2717 Francis Ct, Fredericksbrg, VA 22408 | 2017-08-10 |
| 1700316304 | Transcendent Truth Inc | Counselor | 2601 Wheatland Wood Drive, Fredericksburg, VA 22408 | 2017-06-15 |
| 1487047361 | Michele Neverdon | Counselor | 150 Olde Greenwich Dr Ste 211, Fredericksburg, VA 22408 | 2015-03-16 |
| 1073903688 | Shelby Jean Galloway | Radiology | 12709 Willow Pt. Dr., Fredericksburg, VA 22408 | 2015-02-03 |
| 1417355066 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 4543 Empire Ct, Fredericksburg, VA 22408 | 2014-12-15 |
| 1154726123 | Md Wellness and Health Center | Internal Medicine | 10518 Spotsylvania Ave, Suite 102, Fredericksburg, VA 22408 | 2014-11-03 |
| 1023358595 | Joyce Catherine Corbin Moya | Social Worker | 19003 Main Street, Fredericksburg, VA 22408 | 2013-02-21 |
| 1992063234 | Gustavo A Elias | Radiology | 10401 Spotsylvania Ave Ste 203, Fredericksburg, VA 22408 | 2012-04-24 |
| Find all providers in zip 22408 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578912424 | Jenna Kollat | Physician Assistant | 1101 Sam Perry Blvd Ste 211, Fredericksburg, VA 22401-4465 | 2016-06-10 |
| 1386090561 | Mukul Mallick | Physician Assistant | 15 S Gateway Dr Ste 101, Fredericksburg, VA 22406-1231 | 2016-05-06 |
| 1457690489 | James Michael Crawford | Physician Assistant | 1031 S State Highway 16, Fredericksburg, TX 78624-4472 | 2013-02-12 |
| 1023378833 | Juliet Dameron | Physician Assistant | 1601 Olde William Street, Suite B, Fredericksburg, VA 22401-5525 | 2012-05-25 |
| 1124399951 | Chelsea Marie Garfield | Physician Assistant | 3 Rosemont Ct, Fredericksburg, VA 22405-6140 | 2012-01-25 |
| 1154622967 | Elizabeth Marie Greene | Physician Assistant | Bettermed Urgent Care, 10004 Southpoint Pkwy, Fredericksburg, VA 22407 | 2010-11-10 |
| 1295986248 | Megan Lynn Staudt | Physician Assistant | 140 Industrial Loop, Suite 100, Fredericksburg, TX 78624-5456 | 2008-10-08 |
| 1083734578 | Michelle Ann O'connor | Physician Assistant | 15 S Gateway Dr, Suite 101, Fredericksburg, VA 22406-1231 | 2007-03-30 |
| 1043346992 | Natalie Gergler | Physician Assistant | 2216 Princess Anne St Ste 204, Fredericksburg, VA 22401-3300 | 2007-02-26 |
| 1063474203 | Robert Eugene England | Physician Assistant | 120 S. Tan Street Suite1, Fredericksburg Community Health Center PC, Fredericksburg, PA 17026-0009 | 2006-04-04 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22408 |
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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.