Active NPI
Meagan L Thomas, PA
- Surgical Physician Assistant
- Gilbert, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 6211
- Practice address
- 2940 E Banner Gateway Dr Ste 200
Gilbert, AZ 85234-2171 - Phone
- (602) 772-3800
- Fax
- (602) 772-3801
- NPI assigned
- Jun 27, 2007
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 6211 | AZ | Primary |
Addresses
Primary practice location
2940 E Banner Gateway Dr Ste 200
Gilbert, AZ 85234-2171
Mailing address
PO Box 271429
Salt Lake City, UT 84127-1429
Phone (602) 385-2115
Other names 1
- Meagan L Kruck
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000
2222 E Highland Ave
Suite 300
Phoenix, AZ 85016-4879
Phone (602) 277-6211
5002 S Mill Ave
Suite 101
Tempe, AZ 85282-6828
Phone (602) 277-6211
9377 E Bell Rd
Suite 231
Scottsdale, AZ 85260-1503
Phone (602) 277-6211
Hospital & facility affiliations
- Banner - University Medical Center Phoenix
- Arizona Orthopedic and Surgical Specialty Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6211 | AZ | MD | Occupational Therapist |
| 2151 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Specialists of North America, PLLC | Current | Accepting new patients | |
| Toca at Banner Health LLC | Current | Accepting new patients | |
| Orthopedic Specialists of North America, PLLC | Current | Accepting new patients | |
| Arizona Spine and Joint Hospital LLC | Current | Accepting new patients |
Locations
525 S Chandler Village Dr
Chandler, AZ 85226
Phone (480) 750-0303
2940 E Banner Gateway Dr
Ste 200250
Gilbert, AZ 85234
2940 E Banner Gateway Dr
Ste 200
Gilbert, AZ 85234
1760 E Pecos Rd
Ste 207
Gilbert, AZ 85295
Phone (480) 813-0944
18700 N 64th Dr
Ste 220
Glendale, AZ 85308
2222 E Highland Ave
Ste 300
Phoenix, AZ 85016
Phone (602) 483-6165
2355 E Camelback Rd
Ste 325
Phoenix, AZ 85016
Phone (602) 772-3795
9377 E Bell Rd
Ste 231
Scottsdale, AZ 85260
Phone (602) 313-1549
5620 E Bell Rd
Scottsdale, AZ 85254
Phone (602) 485-3050
5002 S Mill Ave
Ste 101
Tempe, AZ 85282
Interoperability endpoints
- meaganthomas@asjh.medalliesdirect.net
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Glendale, AZ
- NPI 1386270932
-
- Orthopaedic Surgery Physician
- Phoenix, AZ
- NPI 1770812828
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1396745832
-
- Orthopaedic Surgery Physician
- Glendale, AZ
- NPI 1407179518
-
- Orthopaedic Surgery Physician
- Gilbert, AZ
- NPI 1962292870
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1841224870
-
- Special Hospital
- Phoenix, AZ
- NPI 1124163530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540771200000",
"number": "1467659276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 271429",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841271429",
"telephone_number": "602-385-2115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2940 E BANNER GATEWAY DR STE 200",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852342171",
"telephone_number": "602-772-3800",
"fax_number": "602-772-3801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "MEAGAN",
"middle_name": "L",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-27",
"last_updated": "2018-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "AZ",
"license": "6211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEAGAN",
"last_name": "KRUCK",
"middle_name": "L",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.