Active NPI
Megan Colleen Crawford, PA-C
- Medical Physician Assistant
- Berwick, PA
National Provider Identifier
1407191950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA055908
- Practice address
- 301 W 3Rd St
Berwick, PA 18603-3603 - Phone
- (570) 759-0351
- Fax
- (570) 759-1642
- NPI assigned
- Dec 10, 2012
- Last updated
- Jul 8, 2015
- 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 | MA055908 | PA | Primary |
Addresses
Primary practice location
301 W 3Rd St
Berwick, PA 18603-3603
Mailing address
2509 Lakeside Dr
Harveys Lake, PA 18618-3229
Phone (570) 239-6509
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 |
|---|---|---|---|
| MA055908 | PA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436313600000",
"number": "1407191950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2509 LAKESIDE DR",
"city": "HARVEYS LAKE",
"state": "PA",
"postal_code": "186183229",
"telephone_number": "570-239-6509",
"fax_number": "570-759-1642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 W 3RD ST",
"city": "BERWICK",
"state": "PA",
"postal_code": "186033603",
"telephone_number": "570-759-0351",
"fax_number": "570-759-1642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "MEGAN",
"middle_name": "COLLEEN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-10",
"last_updated": "2015-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA055908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berwick, PA
- Joshua James Clark, PHARMD
- Columbia Foot & Ankle Center PC
- Columbia Montour Home Health Services Vna, Inc.
- Comprehensive Vein Care Inc (Personal Care Family Practice)
- Roger F Crake, MD
- David Curfman, M.S., P.T.
- John E Definnis, DDS
- Dental Health Clinic
- Jose Franklin Derr, D.O.
- Sherri Lyn Derr, MSN CRNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.