Meghan Elizabeth Muccigrosso, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9107460 Issued in FL

Practice address

260 Lookout PL
Suite 103
Maitland, FL 32751-4485

Phone

(321) 594-5523

Fax

(407) 333-2140

NPI assigned

Jun 19, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Institute of Endocrinology Diabetes Health and Hormones

  • Endocrinology, Diabetes & Metabolism Physician
  • Panama City, FL
  • NPI 1376951541
  NPD (past)

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425427200000",
    "number": "1104265404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 LOOKOUT PL",
            "address_2": "SUITE 103",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514485",
            "telephone_number": "321-594-5523",
            "fax_number": "407-333-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 LOOKOUT PL",
            "address_2": "SUITE 103",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514485",
            "telephone_number": "321-594-5523",
            "fax_number": "407-333-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUCCIGROSSO",
        "first_name": "MEGHAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2015-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9107460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Jane Moss, BCBA
• Stephanie Mottley, MD
• Josie Mouche, RBT,CNA
• Adrian Moya Raimundo, CRNA
• Mary Judith Moyer
• Diana C. Mudd, CRNA
• Sandeep Mukerjee, MD
• Maritza Muniz
• Nikaury Munoz, LMHC
• Sunil K. Muppala, MD

• Medical Physician Assistant in Maitland, FL
• Providers in Maitland, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.