Individual provider Active NPI

David McMeekin, PA-C

  • Physician Assistant
  • Missoula, MT
National Provider Identifier
1841674405
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MED-PAC-LIC-59289 Issued in MT
Practice address
3075 N Reserve St Ste Q
Missoula, MT 59808-1390
Phone
(406) 327-1750
Fax
(406) 327-1960
NPI assigned
Jul 14, 2015
Sex
Male
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-1264 ID
Physician Assistant 363A00000X MED-PAC-LIC-59289 MT Primary

Addresses

Primary practice location

3075 N Reserve St Ste Q
Missoula, MT 59808-1390

Mailing address

500 W Broadway St
Missoula, MT 59802-4008
Phone (406) 327-1918

Other practice location 1

1115 12th Ave Rd
Nampa, ID 83686-5738
Phone (208) 498-1080

Other practice location 2

1115 12th Ave Rd
Nampa, ID 83686-5738
Phone (208) 498-1080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20171003007660 MT Practitioner - Physician Assistant 1153630223

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3075 N Reserve St
Suite Q
Missoula, MT 59808-1390

500 W Broadway St
Missoula, MT 59802-4008

Hospital & facility affiliations

  • St. Patrick Hospital Hospital, Missoula, MT, CCN 270014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA-1264IDMDPhysician Assistant
MED-PAC-LIC-59289MTMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: dmcmeekin833856@wm.providencedirect.org

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1841674405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W BROADWAY ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024008",
            "telephone_number": "406-327-1918",
            "fax_number": "406-549-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 N RESERVE ST STE Q",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081390",
            "telephone_number": "406-327-1750",
            "fax_number": "406-327-1960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1115 12th Ave Rd",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836865738",
            "country_code": "US",
            "telephone_number": "208-498-1080",
            "fax_number": "208-498-1081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1115 12th Ave Rd",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836865738",
            "country_code": "US",
            "telephone_number": "208-498-1080",
            "fax_number": "208-498-1081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMEEKIN",
        "first_name": "DAVID",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-1264",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "MED-PAC-LIC-59289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.