Meghan Primus, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA064902 Issued in PA

Practice address

5300 Kidspeace Dr
Orefield, PA 18069-2098

Phone

(800) 854-3123

NPI assigned

Sep 18, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1750169066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 WASHINGTON AVE",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194543430",
            "telephone_number": "267-640-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 KIDSPEACE DR",
            "city": "OREFIELD",
            "state": "PA",
            "postal_code": "180692098",
            "telephone_number": "800-854-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIMUS",
        "first_name": "MEGHAN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA006626",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA064902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacey Josephine O'Donnell
• Valerie Palencar, LPC
• Andrew Charles Perich, PT
• Kimberly Ann Popovich, BSL, M.ED
• Precision Neuropsychology Services PLLC
• Kaitlin Danielle Pubentz
• Andrea A Rick, D.M.D.
• Deanna Roberts
• Kevin F Rodowicz, DO
• Tiffany Maria Rodriguez

• Physician Assistant in Orefield, PA
• Providers in Orefield, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.