Individual provider Active NPI

Meghan L. Pelton, PA-C

  • Physician Assistant
  • Toledo, OH
National Provider Identifier
1477573251
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50001738 Issued in OH
Practice address
3500 Executive Pkwy
Toledo, OH 43606-1319
Phone
(419) 531-8558
Fax
(419) 578-5939
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50001738 OH Primary

Addresses

Primary practice location

3500 Executive Pkwy
Toledo, OH 43606-1319

Mailing address

3500 Executive Pkwy
Toledo, OH 43606-1319
Phone (419) 531-8558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100305000318 OH Practitioner - Physician Assistant 6305981093 Reassigns benefits to 1 organization
I20141103002142 MI Practitioner - Physician Assistant 6305981093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promedica Genito-Urinary Surgeons LLCGroup PAC ID 3971757238, 19 clinicians

Practice addresses (Care Compare)

1250 Ralston Ave
Suite 203
Defiance, OH 43512-5309
Phone (419) 783-6915

2120 W Central Ave
Toledo, OH 43606-3834
Phone (419) 531-8558

Hospital & facility affiliations

  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068
  • Promedica Defiance Regional Hospital Hospital, Defiance, OH, CCN 361328
  • Memorial Hospital Hospital, Fremont, OH, CCN 360156
  • Promedica Monroe Regional Hospital Hospital, Monroe, MI, CCN 230099
  • Bay Park Community Hospital Hospital, Oregon, OH, CCN 360259

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50001738OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Genito Urinary Surgeons, Inc Past Accepting new patients
Buckeye Urology and Andrology, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mpelton47998@direct.promedica.org

Organizations & group practices 3

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477573251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 EXECUTIVE PKWY",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061319",
            "telephone_number": "419-531-8558",
            "fax_number": "419-578-5939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 EXECUTIVE PKWY",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061319",
            "telephone_number": "419-531-8558",
            "fax_number": "419-578-5939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELTON",
        "first_name": "MEGHAN",
        "middle_name": "L.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50001738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.