Grant A Meckley, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA060019 Issued in PA

Practice address

100 Corporate Center Dr Ste 100
Camp Hill, PA 17011-1758

Phone

(717) 763-1174

NPI assigned

Aug 21, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1215417043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 458",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170010458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CORPORATE CENTER DR STE 100",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170111758",
            "telephone_number": "717-763-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MECKLEY",
        "first_name": "GRANT",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA060019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine McMurtrie
• Kathryn M McNamara, AUD
• Luke Charles McNamara, DPT
• Kelly J Meacham, RN, BSN
• Oyesalewa Omolade Meadows
• Emily Grace Medasani, RN
• Medi-Trans Group LLC
• Medical Staffing Network, Inc.
• Luz Delia Medina, RN
• Medstaffers, LLC

• Medical Physician Assistant in Camp Hill, PA
• Providers in Camp Hill, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; 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.