Healthcare Provider Details

I. General information

NPI: 1548706286
Provider Name (Legal Business Name): MEGAN ALLGAUER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2017
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1502 WILLIAMSON RD NE FL 2
ROANOKE VA
24012-5100
US

IV. Provider business mailing address

1502 WILLIAMSON RD NE
ROANOKE VA
24012-5130
US

V. Phone/Fax

Practice location:
  • Phone: 540-283-5050
  • Fax: 540-857-7316
Mailing address:
  • Phone: 540-283-5050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number0110005618
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0110005618
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: