Individual provider Active NPI

Megan Marshall Putman, PA-C

  • Medical Physician Assistant
  • Frederick, MD
National Provider Identifier
1689834079
Registry record updated Nov 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C0003771 Issued in MD
Practice address
45 Thomas Johnson Dr Ste 209
Frederick, MD 21702-4490
Phone
(301) 662-6755
Fax
(301) 418-6218
NPI assigned
Jun 10, 2008
Last updated
Nov 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2024

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 C0003771 MD Primary

Addresses

Primary practice location

45 Thomas Johnson Dr Ste 209
Frederick, MD 21702-4490

Mailing address

45 Thomas Johnson Dr Ste 209
Frederick, MD 21702-4490
Phone (301) 662-6755

Other names 1

  • Ms. Megan Anne Marshall Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20081007000232 MD Practitioner - Physician Assistant 6901974799 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frederick Dermatology Associates LLCGroup PAC ID 3678633203, 8 clinicians

Practice addresses (Care Compare)

45 Thomas Johnson Dr
Suite 209
Frederick, MD 21702-4490
Phone (301) 662-6755

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Paul Place Specialists Inc CurrentSince Apr 9, 2009 Accepting new patients
Saint Paul Place Specialists, Inc. CurrentSince Apr 9, 2009 Accepting new patients
Frederick Health Medical Group LLC CurrentSince Aug 15, 2016 Accepting new patients
Frederick Health Hospital Inc PastSince Nov 24, 2024 Accepting new patients
Frederick Health Medical Group LLC Past Accepting new patients

Locations

301 Saint Paul St
Baltimore, MD 21202
Phone (410) 385-4930

194 Thomas Johnson Dr
Ste A
Frederick, MD 21702
Phone (240) 215-6370

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654

Organizations & group practices 7

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 1

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": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731801600000",
    "number": "1689834079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 THOMAS JOHNSON DR STE 209",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024490",
            "telephone_number": "301-662-6755",
            "fax_number": "301-418-6218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 THOMAS JOHNSON DR STE 209",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024490",
            "telephone_number": "301-662-6755",
            "fax_number": "301-418-6218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTMAN",
        "first_name": "MEGAN",
        "middle_name": "MARSHALL",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2024-11-17",
        "certification_date": "2024-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0003771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "MARSHALL",
            "middle_name": "ANNE",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.