Healthcare Provider Details

I. General information

NPI: 1316601719
Provider Name (Legal Business Name): MEGAN BLEACHER MCCARDELL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/22/2021
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4050 N GEORGE STREET EXT
MANCHESTER PA
17345-9347
US

IV. Provider business mailing address

601 MEMORY LN
YORK PA
17402-2231
US

V. Phone/Fax

Practice location:
  • Phone: 717-356-4370
  • Fax: 717-260-3316
Mailing address:
  • Phone: 717-851-1405
  • Fax: 717-851-6969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMA063074
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: