Active NPI
Megan M O'Donovan, PA-C
- Physician Assistant
- Shickshinny, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA053311
- Practice address
- 26 N Main St
Shickshinny, PA 18655-1302 - Phone
- (570) 542-4141
- Fax
- (570) 542-2580
- NPI assigned
- May 29, 2008
- Last updated
- Jul 22, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA053311 | PA | Primary |
Addresses
Primary practice location
26 N Main St
Shickshinny, PA 18655-1302
Mailing address
1084 Plains Township Blvd
Wilkes Barre, PA 18702-7012
Phone (570) 825-8741
Other practice location 1
206 E Brown St
East Stroudsburg, PA 18301-3094
Phone (570) 476-3353
Other practice location 2
1701 Innovation Dr
York, PA 17408-8815
Phone (717) 988-0000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0504548 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024825 | NY | MD | Sports Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upmc Altoona | Current | Accepting new patients | |
| Atlantic Physician Services of Maryland, PC | Physician Assistant | Current | Accepting new patients |
| Upmc Bedford Memorial | Current | Accepting new patients | |
| The Gettysburg Hospital | Current | Accepting new patients | |
| The Gettysburg Hospital | Current | Accepting new patients | |
| Upmc Altoona | Current | Accepting new patients | |
| Apogee Medical Group of Pennsylvania PC | Current | Accepting new patients | |
| Trinity Health Mid-Atlantic Medical Group | Current | Accepting new patients | |
| Upmc Bedford Memorial | Current | Accepting new patients | |
| Trinity Health Mid-Atlantic Medical Group | Current | Accepting new patients | |
| Emergency Care Services of Pennsylvania, P.C. | Physician Assistant | Past | Accepting new patients |
| Romes Urgent Care Services LLC | Past | Accepting new patients | |
| Trinity Health Mid-Atlantic Medical Group | Physician Assistant | Past | Accepting new patients |
Locations
620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011
206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951
10455 Lincoln Hwy
Everett, PA 15537
Phone (814) 623-3550
147 Gettys St
Gettysburg, PA 17325
Phone (717) 334-2121
300 Highland Ave
Hanover, PA 17331
Phone (717) 316-3711
1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540
1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100
2601 Holme Ave
Philadelphia, PA 19152
Phone (215) 335-6000
2701 Holme Ave
Ste 100
Philadelphia, PA 19152
Phone (215) 335-3972
2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300
Interoperability endpoints
- https://api.platform.athenahealth.com/16196/brand/1/csg/1/fhir/r4
- modonovan2969798@direct.trinity-health.org
Organizations & group practices 18
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba WellSpan Gettysburg Hospital
- Emergency Medicine Physician
- Gettysburg, PA
- NPI 1366472706
-
dba THMA MG Surgical Associates Holme
- Surgery Physician
- Langhorne, PA
- NPI 1972982361
-
dba Altoona Emergency Physicians
- General Acute Care Hospital
- Altoona, PA
- NPI 1497831655
-
- Emergency Medicine Physician
- Everett, PA
- NPI 1184772113
-
- Internal Medicine Physician
- Scottsdale, AZ
- NPI 1568633535
PA
-
- Emergency Medicine Physician
- Hanover, PA
- NPI 1619990900
-
- Emergency Medicine Physician
- Wilkes Barre, PA
- NPI 1497059802
-
- Emergency Medicine Physician
- Harrisburg, PA
- NPI 1487693404
-
- Emergency Medicine Physician
- Harris, NY
- NPI 1528338480
-
dba WellSpan Gettysburg Hospital SPU
- Ambulatory Surgical Clinic/Center
- Gettysburg, PA
- NPI 1184882011
-
- Physical Medicine & Rehabilitation Physician
- Philadelphia, PA
- NPI 1639039175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753142400000",
"number": "1114185956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1084 PLAINS TOWNSHIP BLVD",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187027012",
"telephone_number": "570-825-8741",
"fax_number": "570-825-8990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 N MAIN ST",
"city": "SHICKSHINNY",
"state": "PA",
"postal_code": "186551302",
"telephone_number": "570-542-4141",
"fax_number": "570-542-2580"
}
],
"practiceLocations": [
{
"address_1": "206 E Brown St",
"address_purpose": "LOCATION",
"city": "East Stroudsburg",
"state": "PA",
"postal_code": "183013094",
"country_code": "US",
"telephone_number": "570-476-3353",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1701 Innovation Dr",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174088815",
"country_code": "US",
"telephone_number": "717-988-0000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'DONOVAN",
"first_name": "MEGAN",
"middle_name": "M",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-29",
"last_updated": "2025-07-22",
"certification_date": "2025-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA053311",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0504548",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shickshinny, PA
- Christina Marie Kalie
- Josh McDermott
- Modern Family Health, Inc.
- Neighborhood Family Medicine
- Northwest Area School District
- Rebecca Pawlik, R.D.,L.D.N.
- Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy #01583)
- Colleen Reynolds, PA-C
- Rural Health Corporation of Northeastern Pennsylvania (Shickshinny Health Center)
- Shickshinny Area Volunteer Ambulance Assoc Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.