Active NPI
Megan Clara Punches
- Physical Medicine & Rehabilitation Physician
- Belleville, IL
National Provider Identifier
1558034215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 1602021296579
- Practice address
- 150 N 27TH St
Belleville, IL 62226-6621 - Phone
- (618) 235-6600
- NPI assigned
- Jul 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 1602021296579 | IL | Primary |
Addresses
Primary practice location
150 N 27TH St
Belleville, IL 62226-6621
Mailing address
150 N 27TH St
Belleville, IL 62226-6621
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1602021296579 | IL | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627430400000",
"number": "1558034215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 N 27TH ST",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622266621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 N 27TH ST",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622266621",
"telephone_number": "618-235-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUNCHES",
"first_name": "MEGAN",
"middle_name": "CLARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-28",
"last_updated": "2021-07-28",
"certification_date": "2021-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IL",
"license": "1602021296579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belleville, IL
- Protestant Memorial Medical Center, Inc.
- Protestant Memorial Medical Center,Inc
- Victoria Anne Hensley Przulj, SSP, NCSP
- Psychiatric Services of Southern Illinois, LLC
- Rhonda Pulver, P.A.
- Pyrkia Health Services PLLC
- Robert Louis Quaas, M.D.
- Kelsey Leigh Quade, LCPC
- Quality Comfort Home Care Inc
- Quality Comfort Home Care Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.