Active NPI
Megan E Lamattina, PA
- Medical Physician Assistant
- Glen Burnie, MD
National Provider Identifier
1346291127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- C04424
- Practice address
- 6934 Aviation Blvd
Glen Burnie, MD 21061 - Phone
- (443) 949-0814
- NPI assigned
- May 15, 2006
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | C04424 | MD | Primary |
Addresses
Primary practice location
6934 Aviation Blvd
Glen Burnie, MD 21061
Mailing address
973 Fell Street
Baltimore, MD 21231
Phone (443) 708-8179
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369180800000",
"number": "1346291127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "973 FELL STREET",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21231",
"telephone_number": "443-708-8179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6934 AVIATION BLVD",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "21061",
"telephone_number": "443-949-0814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMATTINA",
"first_name": "MEGAN",
"middle_name": "E",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-15",
"last_updated": "2013-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MD",
"license": "C04424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.