MEGAN STAUDLE (NPI# 1396212478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396212478 |
| Entity Type | Individual |
| Full Name | MEGAN STAUDLE |
| Credential | PA |
| Practice Address |
95 Crystal Run Rd Middletown NY 10941-7001 |
| Mailing Address |
155 Crystal Run Rd Middletown NY 10941-4057 |
| Practice Telephone | 8457036999 |
| Practice Fax Number | 8457036297 |
| Mailing Telephone | 8457036999 |
| Mailing Fax Number | 8457036297 |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2020-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 023259 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
023259 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
95 CRYSTAL RUN RD |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10941-7001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871590661 | Karyn F. Robertson | Physician Assistant | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2005-07-07 |
| 1821600032 | Christina Couto | Occupational Therapist | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2020-08-19 |
| 1629698717 | Brian P Dudgeon | Physician Assistant | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2020-04-20 |
| 1073143145 | Heather Murphy-loucks | Nurse Practitioner | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2020-01-17 |
| 1316581069 | Lakeisha Bristow | Nurse Practitioner | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2019-11-05 |
| 1447811294 | Julia E. Byman | Physician Assistant | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2019-06-24 |
| 1568939775 | Logan Z Reisenbigler | Physician Assistant | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2018-10-25 |
| 1225515448 | Jaclyn A. Fisher | Nurse Practitioner | 95 Crystal Run Rd, Middletown, NY 10941 | 2018-07-20 |
| 1922596527 | Nefertari Alisha Owens | Obstetrics & Gynecology | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2018-04-29 |
| 1285168294 | Erick Eichner | Occupational Therapist | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2017-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407471428 | Jackeline Montoya | Case Manager/Care Coordinator | 13 Kensington Manor, Middletown, NY 10941 | 2020-06-15 |
| 1124502398 | Kimberly Dominique Mccormick | Licensed Practical Nurse | 29, Macintosh Drive, Middletown, NY 10941 | 2018-09-24 |
| 1750891081 | Heather Skinner | Case Manager/Care Coordinator | 75 Crystal Run Rd Suite 201, Middletown, NY 10941 | 2017-09-29 |
| 1295281012 | Christa Lloyd | Counselor | 15 Fortune Rd, West Middletown, NY 10941 | 2016-08-31 |
| 1023471109 | Lauren Battaglia | Occupational Therapy Assistant | 192 Tower Drive Suite 400, Middletown, NY 10941 | 2016-04-05 |
| 1992188718 | Brynn Sierra | Occupational Therapist | 21 Riverside Drive, Middletown, NY 10941 | 2015-06-30 |
| 1356788574 | Keren Denis Joseph | Custodial Care Facility | 16 Disco Dr, Middletown, NY 10941 | 2013-05-29 |
| 1902169204 | Susan A. Reilly | Specialist | 2277 Gosen Turnpike, Middletown, NY 10941 | 2012-06-21 |
| 1518229392 | Dena Sapp | Case Manager/Care Coordinator | 75 Crystal Run Rd. Suite 201, Middletown, NY 10941 | 2012-06-08 |
| 1770800542 | Orange County Medical Transportation Inc. | Taxi | 80 Wisner Avenue, Middletown, NY 10941 | 2010-05-03 |
| Find all providers in zip 10941 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649278540 | Kyle R Brown | Physician Assistant | 540 Saybrook Rd, Suite 160, Middletown, CT 06457-4711 | 2005-07-13 |
| 1629698717 | Brian P Dudgeon | Physician Assistant | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2020-04-20 |
| 1548801830 | Michael Tammaro | Physician Assistant | 28 Crescent St, Middletown, CT 06457-3654 | 2019-10-08 |
| 1447811294 | Julia E. Byman | Physician Assistant | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2019-06-24 |
| 1568939775 | Logan Z Reisenbigler | Physician Assistant | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2018-10-25 |
| 1528540127 | Maneesh Pal | Physician Assistant | 707 E Main St, Middletown, NY 10940-2650 | 2018-08-30 |
| 1821462086 | Gabriel Anthony Godart | Physician Assistant | 480 Red Hill Rd, Middletown, NJ 07748-3052 | 2015-11-25 |
| 1366837056 | Katherine Erikson | Physician Assistant | 410 Saybrook Rd, Suite 100, Middletown, CT 06457-4777 | 2015-03-31 |
| 1508262619 | Erica Joy Nicholson | Physician Assistant | 707 E Main St, Middletown, NY 10940-2650 | 2014-11-17 |
| 1982008108 | Brian Beltrani | Physician Assistant | 512 Saybrook Rd, Middletown, CT 06457-4788 | 2014-10-17 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 10941 |
Please comment or provide details below to improve the information on MEGAN STAUDLE.
| 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.