Individual provider Active NPI

Meghan Suzanne East, PA-C

  • Medical Physician Assistant
  • Salisbury, MD
National Provider Identifier
1770764029
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C0003610 Issued in MD
Practice address
31413 Winterplace Pkwy
Suite 103
Salisbury, MD 21804-1877
Phone
(410) 860-0100
Fax
(410) 860-4894
NPI assigned
Nov 15, 2007
Last updated
Nov 15, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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 C0003610 MD Primary

Addresses

Primary practice location

31413 Winterplace Pkwy
Suite 103
Salisbury, MD 21804-1877

Mailing address

31413 Winterplace Pkwy
Suite 103
Salisbury, MD 21804-1877
Phone (410) 860-0100

Other identifiers 1

IdentifierTypeStateIssuer
C0003610OtherMDMD BOARD OF PHYSICIANS

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
I20080312000605 MD Practitioner - Physician Assistant 2466537683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lower Shore Immediate Care LLCGroup PAC ID 0749578300, 6 clinicians

Practice addresses (Care Compare)

12302 Somerset Ave
Suite Ab
Princess Anne, MD 21853-3099
Phone (410) 651-0300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C0003610MDMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Joy Madarang-Lewis M.D., P.a. PastSince Nov 1, 2007 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: meghan.east@3986.securemail.prognocis.com

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, 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": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1770764029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31413 WINTERPLACE PKWY",
            "address_2": "SUITE 103",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041877",
            "telephone_number": "410-860-0100",
            "fax_number": "410-860-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31413 WINTERPLACE PKWY",
            "address_2": "SUITE 103",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041877",
            "telephone_number": "410-860-0100",
            "fax_number": "410-860-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAST",
        "first_name": "MEGHAN",
        "middle_name": "SUZANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0003610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD BOARD OF PHYSICIANS",
            "identifier": "C0003610",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.