Healthcare Provider Details

I. General information

NPI: 1154902641
Provider Name (Legal Business Name): MEGAN ASHLEY JUDY PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2021
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 SOUTH ST STE 380
GREENSBURG PA
15601-2775
US

IV. Provider business mailing address

530 SOUTH ST STE 380
GREENSBURG PA
15601-2775
US

V. Phone/Fax

Practice location:
  • Phone: 724-689-1335
  • Fax: 724-689-1337
Mailing address:
  • Phone: 724-689-1335
  • Fax: 724-689-1337

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: