Active NPI
Megan Duffy McNally, D.O.
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
National Provider Identifier
1760652234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 4816
- Practice address
- 5005 S 40TH St
Suite 1200
Phoenix, AZ 85040-2969 - Phone
- (602) 453-7130
- Fax
- (310) 698-7054
- NPI assigned
- Mar 11, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 4816 | AZ | Primary |
Addresses
Primary practice location
5005 S 40TH St
Suite 1200
Phoenix, AZ 85040-2969
Mailing address
2374 E Pacifica PL
Rancho Dominguez, CA 90220-6214
Phone (310) 225-3244
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47978 | Other | CO | PHYSICIAN LICENSE |
| 7405355-1204 | Other | UT | PHYSICIAN LICENSE |
| R874 | Other | AZ | TRAINING PERMIT |
| 4816 | Other | AZ | PHYSICIAN LICENSE |
| 680 | Other | NE | PHYSICIAN LICENSE |
| 7888 | Other | SD | PHYSICIAN LICENSE |
| 8345A | Other | WY | PHYSICIAN LICENSE |
| DO1506 | Other | NV | PHYSICIAN LICENSE |
| O-0571 | Other | ID | PHYSICIAN LICENSE |
Other names 1
- Maureen Megan Duffy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4816 | AZ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pih Health Good Samaritan Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1508859323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600905600000",
"number": "1760652234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2374 E PACIFICA PL",
"city": "RANCHO DOMINGUEZ",
"state": "CA",
"postal_code": "902206214",
"telephone_number": "310-225-3244",
"fax_number": "310-698-7054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5005 S 40TH ST",
"address_2": "SUITE 1200",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850402969",
"telephone_number": "602-453-7130",
"fax_number": "310-698-7054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNALLY",
"first_name": "MEGAN",
"middle_name": "DUFFY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-11",
"last_updated": "2020-09-24",
"certification_date": "2020-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "AZ",
"license": "4816",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN LICENSE",
"identifier": "47978",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN LICENSE",
"identifier": "7405355-1204",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAINING PERMIT",
"identifier": "R874",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN LICENSE",
"identifier": "4816",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN LICENSE",
"identifier": "680",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN LICENSE",
"identifier": "7888",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN LICENSE",
"identifier": "8345A",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN LICENSE",
"identifier": "DO1506",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN LICENSE",
"identifier": "O-0571",
"state": "ID"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MAUREEN",
"last_name": "DUFFY",
"middle_name": "MEGAN",
"credential": "D.O.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.