Healthcare Provider Details

I. General information

NPI: 1730090432
Provider Name (Legal Business Name): MEGAN SCHMAD PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 16TH ST
GREELEY CO
80631-5154
US

IV. Provider business mailing address

2296 ELMWOOD ST
BERTHOUD CO
80513-7009
US

V. Phone/Fax

Practice location:
  • Phone: 303-436-2727
  • Fax:
Mailing address:
  • Phone: 970-685-1793
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA.0009988
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: