Active NPI
Megan Arthur Mask, PA-C
- Medical Physician Assistant
- Stamford, CT
National Provider Identifier
1255660247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 3077
- Practice address
- 30 Buxton Farm Rd
Stamford, CT 06905-1224 - Phone
- (203) 322-7070
- Fax
- (203) 322-2389
- NPI assigned
- Dec 22, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 005657 | GA | |
| Medical Physician Assistant | 363AM0700X | 085004279 | IL | |
| Medical Physician Assistant | 363AM0700X | 3077 | CT | Primary |
Addresses
Primary practice location
30 Buxton Farm Rd
Stamford, CT 06905-1224
Mailing address
30 Buxton Farm Rd
Stamford, CT 06905-1224
Phone (203) 322-7070
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005657 | Other | GA | GA LICENSE |
| 085004279 | Other | IL | IL LICENSE |
| 2234308 | Other | IL | BCBS |
| 3077 | Other | CT | CT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003077 | CT | MD | Professional Counselor |
| 3077 | CT | MD | Marriage & Family Therapist |
| 005657 | GA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435276800000",
"number": "1255660247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 BUXTON FARM RD",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069051224",
"telephone_number": "203-322-7070",
"fax_number": "203-322-2389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 BUXTON FARM RD",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069051224",
"telephone_number": "203-322-7070",
"fax_number": "203-322-2389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASK",
"first_name": "MEGAN",
"middle_name": "ARTHUR",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-22",
"last_updated": "2015-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "005657",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "IL",
"license": "085004279",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CT",
"license": "3077",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GA LICENSE",
"identifier": "005657",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL LICENSE",
"identifier": "085004279",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "2234308",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CT LICENSE",
"identifier": "3077",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.