MEDICARE: MRS. MEGHAN C BARON PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	PA1453	NV
2	363AM0700X	Medical Physician Assistant	0915	NH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PA1453	OTHER	NV	PA-C LICENSURE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528318565
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MEGHAN C BARON PA-C

Provider Business Mailing Address
First Line	:	4 CRESCENT ST
Second Line	:
City	:	PENACOOK
State	:	NH
Zip	:	03303-1412
Country	:	US
Telephone Number	:	603-753-4302
Fax Number	:	603-753-6213

Provider Business Practice Location Address
First Line	:	4 CRESCENT ST
Second Line	:
City	:	PENACOOK
State	:	NH
Zip	:	03303-1412
Country	:	US
Telephone Number	:	603-753-4302
Fax Number	:	603-753-6213

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/18/2012
Last Update Date	:	10/12/2016

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