Megan Marie Peck

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.002759 Issued in OH

Practice address

543 Taylor Ave
Columbus, OH 43203-1278

Phone

(614) 257-5639

Fax

(614) 257-5460

NPI assigned

Mar 19, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Megan Marie Schumaker Former name

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Signature Dermatology LLCGroup PAC ID 7214086115, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Signature Dermatology LLC

  • Dermatology Physician
  • Hilliard, OH
  • NPI 1679723894
  Medicare reassignment Care Compare group
• Mounir Boutros MD Inc

  • Specialist
  • Toledo, OH
  • NPI 1437181203
  Medicare reassignment
• Integral Vein Institute LLC

  • Diagnostic Radiology Physician
  • Findlay, OH
  • NPI 1487977138
  NPD (past)
• Worst Day Ever

  • Colon & Rectal Surgery Physician
  • Westerville, OH
  • NPI 1467865147
  NPD (past)

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1639340458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11241 ROAD F11",
            "city": "OTTAWA",
            "state": "OH",
            "postal_code": "458759639",
            "telephone_number": "419-231-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 TAYLOR AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432031278",
            "telephone_number": "614-257-5639",
            "fax_number": "614-257-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "MEGAN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.002759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "SCHUMAKER",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Willard Peck III
• Jordan Peck
• Joshua Robert Peck
• Lauren Peck, MD
• Lauren Haunani Peck, PHARMD
• Peggy Peck
• Rebecca Jeanne Peck, M.A. CCC-SLP
• Stephanie Pecoraro
• Jamie Pecore
• Vincent Pecore

• Physician Assistant in Columbus, OH
• Providers in Columbus, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.