M. Mohamed Meeran, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

MD028917E Issued in PA

Practice address

100 Schuylkill Medical PLZ Ste 206
Pottsville, PA 17901-3636

Phone

(570) 621-5630

Fax

(570) 621-5699

NPI assigned

Jan 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1073583191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191783311",
            "telephone_number": "484-884-4500",
            "fax_number": "484-884-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SCHUYLKILL MEDICAL PLZ STE 206",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013636",
            "telephone_number": "570-621-5630",
            "fax_number": "570-621-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEERAN",
        "first_name": "M.",
        "middle_name": "MOHAMED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD028917E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010131660002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol McMullin
• Katey J. McMullin, CRNP
• Connor McNamara, PT, DPT
• Ashley Marie McNelis, OTRL
• Susan Rachel Medalie, D.O.
• Sharon M Melincavage, CRNP
• Erin Ann Mennig, PSY.D.
• Jessica Mennig, BSL
• Merakey Pennsylvania
• Merakey Pennsylvania

• Vascular Surgery Physician in Pottsville, PA
• Providers in Pottsville, PA by specialty
• Vascular Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.