Marc John Megill, A.T.C., L.A.T.

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1087 Issued in TX

Practice address

1 Longhorn Blvd
Cedar Hill, TX 75104-2748

Phone

(469) 272-2000

Fax

(469) 272-3393

NPI assigned

Oct 27, 2011

Last updated

Oct 27, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1467738047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6982 SHOREVIEW DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750546847",
            "telephone_number": "469-272-2000",
            "fax_number": "469-272-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LONGHORN BLVD",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751042748",
            "telephone_number": "469-272-2000",
            "fax_number": "469-272-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEGILL",
        "first_name": "MARC",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "A.T.C., L.A.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-27",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "1087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Cedar Hill, TX
• Providers in Cedar Hill, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.