MAEGAN E GREENWADE (NPI# 1003128547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003128547 |
| Entity Type | Individual |
| Full Name | MAEGAN E GREENWADE |
| Other Name | MAEGAN E RISLEY |
| Credential | PA-C |
| Practice Address |
4200 Union Deposit Rd Harrisburg PA 17111-2801 |
| Mailing Address |
2412 Aspen Way Harrisburg PA 17110-9289 |
| Practice Telephone | 7175586708 |
| Mailing Telephone | 5702950944 |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2016-04-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
OA003405 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA054400 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4200 UNION DEPOSIT RD |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17111-2801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942811138 | Amanda Leigh Gorman | Physical Therapist | 4200 Union Deposit Rd, Harrisburg, PA 17111-2801 | 2020-08-12 |
| 1104468016 | Sara Grab | Nurse Practitioner | 4200 Union Deposit Rd, Harrisburg, PA 17111-2801 | 2019-10-11 |
| 1871148411 | Alexis Erin Stroman | Nurse Practitioner | 4200 Union Deposit Rd, Harrisburg, PA 17111-2801 | 2019-08-08 |
| 1841600962 | Matthew Maun | Physical Therapist | 4200 Union Deposit Rd, Harrisburg, PA 17111-2801 | 2014-04-28 |
| 1497185771 | American Current Care Pa | Clinic/Center | 4200 Union Deposit Rd, Harrisburg, PA 17111-2801 | 2013-11-22 |
| 1144650029 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 4200 Union Deposit Rd, Harrisburg, PA 17111-2801 | 2013-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417589011 | Brightwood Adult Day Care LLC | Clinic/Center | 5630 Derry Street, Harrisburg, PA 17111 | 2020-02-11 |
| 1114486008 | Candy Benson | Behavior Technician | 2225 Sycamore St Suite 240, Harrisburg, PA 17111 | 2019-03-19 |
| 1295203206 | Shannon Ingram | Behavior Technician | 2225 Sycamore St Suite 120, Harrisburg, PA 17111 | 2018-11-07 |
| 1255862678 | A Caring Hand Home Health Care LLC | Home Health | 5600 Derry St, Harrisburg, PA 17111 | 2017-03-27 |
| 1073067559 | Migliore Treatment Services LLC | Community/Behavioral Health | 60 S 41st St, Harrisburg, PA 17111 | 2016-08-12 |
| 1013384718 | Alina N Glazunova | Nurse Practitioner | 6010 Pindeale Court, Harrisburg, PA 17111 | 2015-08-28 |
| 1033551494 | Elizabeth Ann Campbell | Behavioral Analyst | 2225 Sycamore Street, Suite 120, Harrisburg, PA 17111 | 2013-07-25 |
| 1427320688 | Joseph J Trautlein | Allergy & Immunology | 6450 Colchester Ave, Harrisburg, PA 17111 | 2012-02-03 |
| 1083983019 | Bonsall Manfredi & Assoc, P.C. | Psychiatry & Neurology | 2600 Woodlawn Street, Harrisburg, PA 17111 | 2011-12-20 |
| 1083920045 | Mh Medical LLC | Durable Medical Equipment & Medical Supplies | 7412 Derry Street, Harrisburg, PA 17111 | 2010-08-27 |
| Find all providers in zip 17111 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932591260 | Denise Ann Mesaros | Physician Assistant | 5071 Bass Lake Dr Apt 2003, Harrisburg, PA 17111-5918 | 2015-02-24 |
| 1356472799 | Jeffrey John Hollenbach | Physician Assistant | 4605 Locust Ln, Harrisburg, PA 17109-4424 | 2007-03-08 |
| 1598730483 | Joan Nerviano | Physician Assistant | 3601 N Progress Ave, Harrisburg, PA 17110-9100 | 2006-02-22 |
| 1649264268 | Marnie Irene Odonnell | Physician Assistant | 121 Nyes Rd, Harrisburg, PA 17112-3247 | 2005-09-09 |
| 1538791728 | Samantha Larsen | Physician Assistant | 111 S Front St, Harrisburg, PA 17101-2010 | 2020-02-06 |
| 1730721523 | Michalia Amony Humphrey | Physician Assistant | 2200 Dover Rd, Harrisburg, PA 17112-1002 | 2019-10-13 |
| 1619438926 | Justin Lanni | Physician Assistant | 111 S Front St, Harrisburg, PA 17101-2010 | 2019-03-28 |
| 1578017851 | Gretchen Moore | Physician Assistant | 4300 Londonderry Rd, Harrisburg, PA 17109-5317 | 2016-08-04 |
| 1134672660 | Anthony J Manney | Physician Assistant | 4300 Londonderry Rd Ste 302, Harrisburg, PA 17109 | 2016-08-02 |
| 1790150324 | Alyssa N. Peck | Physician Assistant | 111 S Front St, Harrisburg, PA 17101-2010 | 2015-12-08 |
| Find all providers in HARRISBURG | ||||
| City | HARRISBURG |
| Zip Code | 17111 |
Please comment or provide details below to improve the information on MAEGAN E GREENWADE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.