MRS. MEGAN MARSHALL PUTMAN


Address: 504 E. Ridgeville Blvd, Suite 120, Mt. Airy, MD 21771
Phone: 2402156310

MRS. MEGAN MARSHALL PUTMAN (NPI# 1689834079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689834079
Entity Type Individual
Full Name MRS. MEGAN MARSHALL PUTMAN
Other Name MS. MEGAN ANNE MARSHALL
Credential PA-C
Practice Address 504 E. Ridgeville Blvd
Suite 120
Mt. Airy
MD 21771
Mailing Address 194 Thomas Johnson Drive
Suite A
Frederick
MD 21702
Practice Telephone 2402156310
Practice Fax Number 2405667751
Mailing Telephone 2402156310
Mailing Fax Number 2405667751
Enumeration Date 2008-06-10
Last Update Date 2018-04-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
C0003771 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 504 E. RIDGEVILLE BLVD
SUITE 120
City MT. AIRY
State MD
Zip Code 21771

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699026567 Laura Morlok Counselor 18 Park Avenue, Mount Airy, MD 21771 2012-10-01
1902112352 Sun M Park Pharmacist 415 East Ridgeville Blvd, Rite Aid #3822, Mt Airy, MD 21771 2010-08-24
1255589743 Ronald Giles Manzer Dentist 106 Prospect Rd., Suite 5, Mt. Airy, MD 21771 2008-09-09
1215075924 Karen Elizabeth Polichene Chiropractor 3039 Gillis Falls Rd, Mt Airy, MD 21771 2007-02-02
1710040985 Hali Anderson Physical Therapist 431 E Ridgeville Blvd, Mt Airy, MD 21771 2006-12-19
1831288786 Ronald E Miller Internal Medicine 4 Culwell Drive, Mt Airy, MD 21771 2006-10-11
1679665624 Peter James Mellon Chiropractor 13002 Penn Shop Road, Mt Airy, MD 21771 2006-09-28
1447222336 Norman Franklin Fine Optometrist 1311 S. Main St. Ste 104, Mount Airy, MD 21771 2006-02-03
1922453109 Jessica Medani Internal Medicine 504 E Ridgeville Blvd, Mount Airy, MD 21771 2016-04-26
1992066393 Amy B Frizzell Pharmacist 415 East Ridgeville Blvd, Mt. Airy, MD 21771 2012-06-01
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

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1902466998 Christina Deleon Physician Assistant 403 Marvel Court, Easton, MD 21601 2019-06-20
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1558834234 Kevin Timothy Johnson Physician Assistant 411 Naylor Mill Rd, Salisbury, MD 21801-1191 2019-01-06
1093287260 Carolina Radzyminska Johnson Physician Assistant 10750 Columbia Pike Ste 401, Silver Spring, MD 20901-4402 2018-12-27
1962971309 Emmy L Estrada Physician Assistant 12150 Annapolis Rd Ste 208, Glenn Dale, MD 20769-9183 2018-11-14
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Competitor

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City MT. AIRY
Zip Code 21771

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Dataset Information

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.

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