Organization Active NPI

Paragond LLC

  • Family Medicine Physician
  • Meridian, ID
National Provider Identifier
1093446718
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PARAGOND LLC
Practice address
3715 E Overland Rd Ste 120
Meridian, ID 83642-8301
Phone
(208) 789-0220
Fax
(208) 789-0047
NPI assigned
Jun 22, 2022
Last updated
Mar 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Authorized official

Name
Megan Lane, PA-CNPI 1326380544
Title
Owner/Provider
Phone
(208) 789-0220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

3715 E Overland Rd Ste 120
Meridian, ID 83642-8301

Mailing address

3715 E Overland Rd Ste 120
Meridian, ID 83642-8301
Phone (087) 890-2202

National Provider Directory

National Provider Directory

Locations

2264 S Bonito Way
Meridian, ID 83642

3715 E Overland Rd
Ste 120
Meridian, ID 83642
Phone (208) 789-0220

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1093446718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 E OVERLAND RD STE 120",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428301",
            "telephone_number": "087-890-2202",
            "fax_number": "205-789-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 E OVERLAND RD STE 120",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428301",
            "telephone_number": "208-789-0220",
            "fax_number": "208-789-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGOND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-22",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "208-789-0220",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.