Healthcare Provider Details

I. General information

NPI: 1700149077
Provider Name (Legal Business Name): MEGHAN FEELY MCDONALD M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGHAN ANNE FEELY MD

II. Dates (important events)

Enumeration Date: 06/20/2012
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CLOCK TOWER PL STE 250
CARMEL CA
93923-8775
US

IV. Provider business mailing address

100 CLOCK TOWER PL STE 250
CARMEL CA
93923-8775
US

V. Phone/Fax

Practice location:
  • Phone: 831-308-4570
  • Fax: 831-202-1001
Mailing address:
  • Phone: 831-308-4570
  • Fax: 831-202-1001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207NS0135X
TaxonomyProcedural Dermatology Physician
License Number283521
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: