Individual provider Active NPI

Megan Marie Canale Glor, PA-C

  • Medical Physician Assistant
  • Syracuse, NY
National Provider Identifier
1477602266
Registry record updated Sep 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
011864 Issued in NY
Practice address
1120 E Genesee St
Syracuse, NY 13210-1912
Phone
(315) 475-5540
Fax
(315) 475-5554
NPI assigned
Jan 9, 2007
Last updated
Sep 21, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 011864 NY Primary

Addresses

Primary practice location

1120 E Genesee St
Syracuse, NY 13210-1912

Mailing address

1120 E Genesee St
Syracuse, NY 13210-1912
Phone (315) 475-5540

Other names 1

  • Megan Marie Canale Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140107000899 NY Practitioner - Physician Assistant 5092943563 Reassigns benefits to 1 organization
Practice locations: Batavia, NY; Syracuse, NY; Rochester, NY; Canandaigua, NY

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Planned Parenthood of Central and Western New York IncGroup PAC ID 6406848647, 19 clinicians

Practice addresses (Care Compare)

1120 E Genesee St
Syracuse, NY 13210-1912
Phone (315) 475-5540

15 Webster St
North Tonawanda, NY 14120-5816
Phone (716) 694-6454

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
011864NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of the Rochester/Syracuse Region Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: megan.glor.p4@direct.usppny.nextgenshare.com

Organizations & group practices 2

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505952000000",
    "number": "1477602266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 E GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101912",
            "telephone_number": "315-475-5540",
            "fax_number": "315-475-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 E GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101912",
            "telephone_number": "315-475-5540",
            "fax_number": "315-475-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOR",
        "first_name": "MEGAN",
        "middle_name": "MARIE CANALE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2017-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "011864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "CANALE",
            "middle_name": "MARIE",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.