Healthcare Provider Details

I. General information

NPI: 1780145136
Provider Name (Legal Business Name): MEGAN ROSE MCCLAIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2019
Last Update Date: 09/25/2024
Certification Date: 09/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

565 COAL VALLEY RD
JEFFERSON HILLS PA
15025-3703
US

IV. Provider business mailing address

22 S GREENE ST # S11C
BALTIMORE MD
21201-1544
US

V. Phone/Fax

Practice location:
  • Phone: 412-469-5000
  • Fax: 412-469-7174
Mailing address:
  • Phone: 312-328-1239
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD484840
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: