Individual provider Active NPI

Megan Hooper Coggon, M.D.

  • Pediatrics Physician
  • Charlevoix, MI
National Provider Identifier
1730594573
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2014020067 Issued in MO
Practice address
14719 W Upright St BLDG C
Charlevoix, MI 49720-1949
Phone
(231) 547-3840
NPI assigned
Jun 30, 2014
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2014020067 MO Primary

Addresses

Primary practice location

14719 W Upright St BLDG C
Charlevoix, MI 49720-1949

Mailing address

14719 W Upright St BLDG C
Charlevoix, MI 49720-1949

Other practice location 1

1 Childrens Pl
3S34
Saint Louis, MO 63110-1002
Phone (314) 454-6006

Other names 1

  • Dr. Megan Mary Hooper Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20170725000089 MI Practitioner - Pediatric Medicine 0840560827 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2014020067MOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Healthcare Charlevoix Hospital Pediatrics CurrentSince Aug 1, 2017 Accepting new patients
Munson Healthcare Charlevoix Hospital Current Accepting new patients
Munson Healthcare Charlevoix Hospital CurrentSince Aug 1, 2017 Accepting new patients
Traverse Area Pediatric and Adolescent Clinic PLC Pediatrics Past Accepting new patients
Munson Medical Center Past Accepting new patients

Locations

14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840

14709 W Upright St
Charlevoix, MI 49720
Phone (231) 547-6519

14719 W Upright St
Bldg C
Charlevoix, MI 49720
Phone (231) 547-3840

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1730594573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14719 W UPRIGHT ST BLDG C",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497201949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14719 W UPRIGHT ST BLDG C",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497201949",
            "telephone_number": "231-547-3840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Childrens Pl",
            "address_2": "3S34",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631101002",
            "country_code": "US",
            "telephone_number": "314-454-6006",
            "fax_number": "314-454-4102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COGGON",
        "first_name": "MEGAN",
        "middle_name": "HOOPER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2014020067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "HOOPER",
            "middle_name": "MARY",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlevoix, MI

Sources for this page

Verify at the official NPI Registry.