MEGAN ELIZABETH DIETERICH (NPI# 1114243482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114243482 |
| Entity Type | Individual |
| Full Name | MEGAN ELIZABETH DIETERICH |
| Credential | PA-C |
| Practice Address |
175 W Park Ave New Haven CT 06511-2928 |
| Practice Telephone | 6175387207 |
| Mailing Telephone | 6175387207 |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2010-04-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA030671 | DC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
175 W PARK AVE |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-2928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330571 | Allison Elizabeth Pratt | Occupational Therapist | 625 Whitney Ave, Apt 5, New Haeven, CT 06511 | 2020-09-11 |
| 1881213346 | Sarah Bleicher | Registered Nurse | Yale Health, 55 Lock St, New Haven, CT 06511 | 2020-04-14 |
| 1083268395 | Danielle Lee Mcpherson | Pharmacist | Yale New Haven Hospital 55 Park Street, New Haven, CT 06511 | 2019-07-25 |
| 1528533866 | Alexia Levin | Social Worker | 98/100 York St, New Haven, CT 06511 | 2018-10-12 |
| 1861970097 | Orthocare Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 1450 Chapel St Ste Sg15, New Haven, CT 06511 | 2018-07-31 |
| 1609352418 | Susannah Frew | Social Worker | 2 Eld Street, Apt 6, New Haven, CT 06511 | 2018-07-15 |
| 1851881965 | Empowerment Counseling Services, LLC | Counselor | 427 Dixwell Ave, New Haven, CT 06511 | 2018-05-14 |
| 1487173951 | Karine Giasson-gariepy | Student in an Organized Health Care Education/Training Program | Yale University Department of Psychiatry, 300 George Street, Suite 901, New Haven, Ct 06511, New Haven, CT 06511 | 2017-09-15 |
| 1568980696 | Anna Reutenauer | Dentist | 123 York St Ste 4l, New Haven, CT 06511 | 2017-09-08 |
| 1083134753 | Darin Dolezal | Student in an Organized Health Care Education/Training Program | 200 South Frontage Road, Ep2 2nd Floor - 612, Dept of Pathology, New Haven, CT 06511 | 2017-06-23 |
| Find all providers in zip 06511 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170546 | Kanwon Garley | Physician Assistant | 371 Alden Ave Apt 12b, New Haven, CT 06515-2146 | 2020-07-06 |
| 1366097271 | Lana Monashkin | Physician Assistant | 939 State St Apt C, New Haven, CT 06511-7318 | 2019-08-07 |
| 1013479898 | Andrea Ferraro | Physician Assistant | 35 Park St Rm 209, New Haven, CT 06519-1110 | 2019-04-02 |
| 1255875035 | Sarah Geanne Coffin | Physician Assistant | 51 Perkins St, New Haven, CT 06513-3210 | 2016-12-13 |
| 1790146066 | Philip Logan | Physician Assistant | 112 Dwight St Apt 29, New Haven, CT 06511-4532 | 2016-03-15 |
| 1962872523 | Diana G Poulsen | Physician Assistant | Yale New Haven Pediatric Ed, 1 Park St, New Haven, CT 06504 | 2015-09-25 |
| 1992192827 | Theodora Fraser Mcpherson | Physician Assistant | 151 Clifton St, New Haven, CT 06513-3319 | 2015-04-17 |
| 1851658561 | Tara Cotton | Physician Assistant | 20 York St Spc 2213, Mdrad Diagnostic Radiology, New Haven, CT 06510-3220 | 2012-04-19 |
| 1508147745 | Molly E Band | Physician Assistant | 1 Park St Fl 2, New Haven, CT 06504-8901 | 2011-09-01 |
| 1679715395 | Rhonda Leigh Sawyer | Physician Assistant | 840 Howard Avenue, New Haven, CT 06504 | 2009-03-26 |
| Find all providers in NEW HAVEN | ||||
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| 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.