Individual provider Active NPI

Megan M Popp, MD

  • Physical Medicine & Rehabilitation Physician
  • Spooner, WI
National Provider Identifier
1427208677
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
60559-20 Issued in WI
Practice address
707 Ash St
Essentia Health Spooner Clinic
Spooner, WI 54801-1234
Phone
(715) 635-2151
NPI assigned
Sep 24, 2008
Last updated
Jan 26, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 60559-20 WI Primary
Physical Medicine & Rehabilitation Physician 208100000X 51236 MN

Addresses

Primary practice location

707 Ash St
Essentia Health Spooner Clinic
Spooner, WI 54801-1234

Mailing address

1180 Chandler Dr
Essentia Health Spooner Clinic
Spooner, WI 54801-2204
Phone (715) 635-2151

Other identifiers 2

IdentifierTypeStateIssuer
1427208677MedicaidMI
1427208677MedicaidMN

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
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1427208677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 CHANDLER DR",
            "address_2": "ESSENTIA HEALTH SPOONER CLINIC",
            "city": "SPOONER",
            "state": "WI",
            "postal_code": "548012204",
            "telephone_number": "715-635-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 ASH ST",
            "address_2": "ESSENTIA HEALTH SPOONER CLINIC",
            "city": "SPOONER",
            "state": "WI",
            "postal_code": "548011234",
            "telephone_number": "715-635-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPP",
        "first_name": "MEGAN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-24",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WI",
            "license": "60559-20",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MN",
            "license": "51236",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427208677",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427208677",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spooner, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.