Active NPI
Megan M Popp, MD
- Physical Medicine & Rehabilitation Physician
- Spooner, WI
National Provider Identifier
1427208677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 60559-20
- 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, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427208677 | Medicaid | MI | |
| 1427208677 | Medicaid | MN |
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
| Organization | Specialty | Status | New 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.
-
dba Allina Health TeleRheumatology
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
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.