Individual provider Active NPI

Meghan Dolan, PA-C

  • Surgical Physician Assistant
  • Bloomfield, CT
National Provider Identifier
1508194143
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
2861 Issued in CT
Practice address
6 Northwestern Dr Ste 305
Bloomfield, CT 06002-3428
Phone
(860) 242-8591
Fax
(860) 242-2511
NPI assigned
Nov 19, 2009
Last updated
Oct 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X MA054142 PA
Surgical Physician Assistant 363AS0400X 2861 CT Primary

Addresses

Primary practice location

6 Northwestern Dr Ste 305
Bloomfield, CT 06002-3428

Mailing address

6 Northwestern Dr Ste 305
Bloomfield, CT 06002-3428
Phone (860) 242-8591

Other practice location 1

2400 Tamarack Ave Ste 200
South Windsor, CT 06074-5559
Phone (860) 242-8591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20130314000075 CT Practitioner - Physician Assistant 0547302416 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colon and Rectal Surgeons of Greater Hartford LLCGroup PAC ID 0244223956, 9 clinicians

Practice addresses (Care Compare)

114 Woodland St
Hartford, CT 06105-1208

2400 Tamarack Ave
Suite 200
South Windsor, CT 06074-5559
Phone (860) 648-4413

6 Northwestern Dr
Suite 305
Bloomfield, CT 06002-3428
Phone (860) 242-8591

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Oct 16, 2018 Accepting new patients

Locations

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981

Interoperability endpoints

  • Direct secure messaging: mdolan2389095@direct.trinity-health.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1258588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1508194143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 NORTHWESTERN DR STE 305",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023428",
            "telephone_number": "860-242-8591",
            "fax_number": "860-242-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 NORTHWESTERN DR STE 305",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023428",
            "telephone_number": "860-242-8591",
            "fax_number": "860-242-2511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Tamarack Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "South Windsor",
            "state": "CT",
            "postal_code": "060745559",
            "country_code": "US",
            "telephone_number": "860-242-8591",
            "fax_number": "860-242-2511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOLAN",
        "first_name": "MEGHAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-19",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA054142",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "2861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, CT

Sources for this page

Verify at the official NPI Registry.