Organization Active NPI

Meaghan Noud MD PC

  • Medical Specialty Clinic/Center
  • San Francisco, CA
National Provider Identifier
1942947171
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
MEAGHAN NOUD MD PC
Practice address
909 Hyde St Ste 602
San Francisco, CA 94109-4847
Phone
(415) 317-6111
Fax
(415) 358-4819
NPI assigned
May 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Colleen Noud
Title
Practice Manager
Phone
(415) 317-6111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

909 Hyde St Ste 602
San Francisco, CA 94109-4847

Mailing address

909 Hyde St Ste 602
San Francisco, CA 94109-4847
Phone (415) 317-6111

Other names 1

  • Statera Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220627000425 CA Part B Supplier - Clinic/Group Practice 5496134124 Receives reassigned benefits from 1 practitioner
Practice locations: San Francisco, CA

National Provider Directory

National Provider Directory

Locations

909 Hyde St
Ste 602
San Francisco, CA 94109
Phone (415) 317-6111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1942947171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 HYDE ST STE 602",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094847",
            "telephone_number": "415-317-6111",
            "fax_number": "415-358-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 HYDE ST STE 602",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094847",
            "telephone_number": "415-317-6111",
            "fax_number": "415-358-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEAGHAN NOUD MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "NOUD",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "415-317-6111"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Statera",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.