PHILLIP E MEEHAN PA NPI 1609809094

NPI Information

NPI: 1609809094
Provider Name: PHILLIP E MEEHAN, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
1301 S. CLIFF AVE
STE 610
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 322-8860
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Phillip E Meehan, PA is a surgical physician assistant in Sioux Falls, SD with 21 years of experience. Phillip E Meehan, PA NPI is 1609809094. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1301 S. CLIFF AVE
STE 610
SIOUX FALLS, SD
ZIP 57105-032
Phone: (605) 322-8860
Fax: (605) 322-8868

The NPI 1609809094 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 12/18/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	0571	SOUTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1609809094	OTHER	SOUTH DAKOTA	ARAZ/ AMERICA'S PPO
2	4992676	OTHER	SOUTH DAKOTA	BLUE CROSS
3	1821021304	MEDICAID	IOWA
4	248340	OTHER	SOUTH DAKOTA	MIDLAND'S CHOICE
5	10025568900	MEDICAID	NEBRASKA
6	C83141041559	OTHER	SOUTH DAKOTA	PREFERRED ONE
7	S102125	MEDICARE PIN	SOUTH DAKOTA
8	0127834	OTHER	SOUTH DAKOTA	MEDICA
9	248340	OTHER	SOUTH DAKOTA	MIDLANDS CHOICE
10	9238709	OTHER	SOUTH DAKOTA	DAKOTACARE
11	57105AT04	OTHER	SOUTH DAKOTA	WPS TRICARE
12	6827152	MEDICAID	SOUTH DAKOTA
13	46L92ME	OTHER	MINNESOTA	CC SYSTEMS/ BLUE PLUS
14	Q21239	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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