Active NPI
Megan C. McBride, D.O.
- Pediatrics Physician
- Fenton, MO
National Provider Identifier
1790759256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2003009200
- Practice address
- 832 Horan Dr
Fenton, MO 63026-2408 - Phone
- (636) 349-7191
- Fax
- (636) 349-9063
- NPI assigned
- Feb 13, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2003009200 | MO | Primary |
Addresses
Primary practice location
832 Horan Dr
Fenton, MO 63026-2408
Mailing address
832 Horan Dr
Fenton, MO 63026-2408
Phone (636) 349-7191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150226000324 | MO | Order and Referring Only - Pediatric Medicine | 7719953108 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2003009200 | MO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Multispecialty Group Inc. | Pediatrics | Past | Accepting new patients |
| Mercy Clinic East Communities | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- mmcbride1096@directc.mercy.net
- megan.mcbride.p1@direct.essehealth.nextgenshare.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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1972559532
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329350400000",
"number": "1790759256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "832 HORAN DR",
"city": "FENTON",
"state": "MO",
"postal_code": "630262408",
"telephone_number": "636-349-7191",
"fax_number": "636-349-9063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "832 HORAN DR",
"city": "FENTON",
"state": "MO",
"postal_code": "630262408",
"telephone_number": "636-349-7191",
"fax_number": "636-349-9063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCBRIDE",
"first_name": "MEGAN",
"middle_name": "C.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-13",
"last_updated": "2012-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "2003009200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fenton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.