Meaghan Margaret Birakis, PA-C

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

PAT9112567 Issued in FL

Practice address

3319 FL-7 #202
Wellington, FL 33449

Phone

(561) 847-4751

NPI assigned

Jan 15, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Ms. Meaghan Margaret Daw Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1124668371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 S FEDERAL HWY APT 104",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334324905",
            "telephone_number": "561-926-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3319 FL-7 #202",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "33449",
            "telephone_number": "561-847-4751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRAKIS",
        "first_name": "MEAGHAN",
        "middle_name": "MARGARET",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-15",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "FL",
            "license": "PAT9112567",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "PAT9112567",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "PAT9112567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEAGHAN",
            "last_name": "DAW",
            "middle_name": "MARGARET",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Beyond the Mind Psychiatric Care Services LLC
• Naomi Bieber
• Bio-Medical Applications of Florida, Inc.
• Biocore Health, LLC
• Biolibriumpllc
• Angelline Opal Blackwood, ARNP
• Elizabeth Blake, IBCLC
• Kenya Alicia Blake
• Robert F Blake, MMS, PA-C
• Marisol Blanco

• Dermatology Physician in Wellington, FL
• Providers in Wellington, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.