Individual provider Active NPI

Megan J York, MD

  • Pediatrics Physician
  • Newburgh, IN
National Provider Identifier
1730560376
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01080125A Issued in IN
Practice address
100 St Marys Epworth Xing Ste A100
Newburgh, IN 47630-9497
Phone
(812) 469-8160
NPI assigned
Jun 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 125-066465 IL
Pediatrics Physician 208000000X 01080125A IN Primary

Addresses

Primary practice location

100 St Marys Epworth Xing Ste A100
Newburgh, IN 47630-9497

Mailing address

100 St Marys Epworth Xing Ste A100
Newburgh, IN 47630-9497

Other practice location 1

14020 Old State Rd # 300
Evansville, IN 47725
Phone (812) 469-4755

Other names 1

  • Megan Logsdon Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address megan.logsdon.1@7598.direct.athenahealth.com St Mary's Medical Group, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180705002424 IN Practitioner - Pediatric Medicine 9234441635 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125-066465ILMDPediatrics Physician
01080125AINMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary'S Medical Group, LLC CurrentSince Aug 12, 2018 Accepting new patients
St Mary'S Medical Group, LLC Pediatrics CurrentSince Aug 12, 2018 Accepting new patients

Locations

1116 Millis Ave
Boonville, IN 47601
Phone (812) 897-4800

14020 Old State Rd
Ste C300
Evansville, IN 47725
Phone (812) 469-4755

801 Saint Marys Dr
Ste 505E
Evansville, IN 47714
Phone (812) 491-3236

3801 Bellemeade Ave
Ste 200E
Evansville, IN 47714
Phone (812) 485-1720

7220 E Virginia St
Evansville, IN 47715
Phone (812) 473-8986

14020 Old State Rd
#300
Evansville, IN 47725
Phone (812) 469-4755

100 St Marys Epworth Xing
Ste A100
Newburgh, IN 47630
Phone (812) 469-8160

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1730560376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ST MARYS EPWORTH XING STE A100",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476309497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ST MARYS EPWORTH XING STE A100",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476309497",
            "telephone_number": "812-469-8160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14020 Old State Rd # 300",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "47725",
            "country_code": "US",
            "telephone_number": "812-469-4755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YORK",
        "first_name": "MEGAN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-09",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "125-066465",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01080125A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "megan.logsdon.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St Mary's Medical Group, LLC",
            "address_1": "100 St Marys Epworth Xing Ste A100",
            "city": "Newburgh",
            "state": "IN",
            "country_code": "US",
            "postal_code": "476309497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "LOGSDON",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newburgh, IN

Sources for this page

Verify at the official NPI Registry.