Healthcare Provider Details

I. General information

NPI: 1679132039
Provider Name (Legal Business Name): MEGAN ANNE OXLEY PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2019
Last Update Date: 04/05/2024
Certification Date: 01/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

708 MAIN ST STE 200
HELLERTOWN PA
18055-1513
US

IV. Provider business mailing address

2100 MACK BLVD FL 4
ALLENTOWN PA
18103-5622
US

V. Phone/Fax

Practice location:
  • Phone: 610-838-7069
  • Fax:
Mailing address:
  • Phone: 484-884-4500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberOA006816
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberC0007213
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: