Meghan Elizabeth Izak, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

OS025815 Issued in PA

Practice address

4 S County Line Rd
Souderton, PA 18964-2814

Phone

(215) 723-7177

NPI assigned

Jun 13, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1043994700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 S COUNTY LINE RD",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "189642814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 S COUNTY LINE RD",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "189642814",
            "telephone_number": "215-723-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZAK",
        "first_name": "MEGHAN",
        "middle_name": "ELIZABETH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-13",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "OT022470",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "OS025815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennie Hoose, BCBA
• Robin Ide
• Indian Creek Foundation
• Indian Valley Dental Associates
• Mina Hany Ishak
• Robert Allan Jenne, BSL
• Nicole Lynn Jezewski, M.D.
• Rinu John, CPNP
• Anne Marie Johnson, M.S., CF-SLP
• Tamika M. Johnson, LCSW

• Pediatrics Physician in Souderton, PA
• Providers in Souderton, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.