Active NPI
Meghan K Sternat, PA-C
- Physician Assistant
- Jacksonville, FL
National Provider Identifier
1881025559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9110274
- Practice address
- 4555 Emerson St Ste 100
Jacksonville, FL 32207-4958 - Phone
- (904) 383-1430
- NPI assigned
- Dec 6, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA056631 | PA | |
| Physician Assistant | 363A00000X | PA9110274 | FL | Primary |
Addresses
Primary practice location
4555 Emerson St Ste 100
Jacksonville, FL 32207-4958
Mailing address
PO Box 100279
Gainesville, FL 32610-0279
Phone (352) 594-1942
Other practice location 1
5501 Old York Rd
Department of Surgery, Klein 510
Philadelphia, PA 19141-3018
Phone (215) 456-6930
Other practice location 2
5501 Old York Rd
Department of Surgery, Klein 510
Philadelphia, PA 19141-3018
Phone (215) 456-6930
Other practice location 3
1600 SW Archer Rd
Gainesville, FL 32610-0279
Phone (352) 594-1942
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022147900 | Medicaid | FL |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9110274 | FL | MD | Physician Assistant |
| MA056631 | PA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1881025559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100279",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326100279",
"telephone_number": "352-594-1942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4555 EMERSON ST STE 100",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322074958",
"telephone_number": "904-383-1430"
}
],
"practiceLocations": [
{
"address_1": "5501 Old York Rd",
"address_2": "Department of Surgery, Klein 510",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191413018",
"country_code": "US",
"telephone_number": "215-456-6930",
"fax_number": "215-456-3529",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5501 Old York Rd",
"address_2": "Department of Surgery, Klein 510",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191413018",
"country_code": "US",
"telephone_number": "215-456-6930",
"fax_number": "215-456-3529",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1600 SW Archer Rd",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326100279",
"country_code": "US",
"telephone_number": "352-594-1942",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STERNAT",
"first_name": "MEGHAN",
"middle_name": "K",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-06",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA056631",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9110274",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022147900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.