NPI Code Detail JSON Logo

1093440497 NPI number — MEGAN JOAN EATON PA

NPI Number: 1093440497
Health Care Provider/Practitioner: MEGAN JOAN EATON PA

Information about “1093440497” NPI (MEGAN JOAN EATON PA) exists in 1093440497 in HTML format HTML  |  1093440497 in plain Text format TXT  |  1093440497 in PDF (Portable Document Format) PDF  |  1093440497 in an XML format XML  formats.

NPI Number : 1093440497 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1093440497",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "EATON",
    "FirstName": "MEGAN",
    "MiddleName": "JOAN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CARROLL",
    "OtherFirstName": "MEGAN",
    "OtherMiddleName": "JOAN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PA",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 14890",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ALBANY",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "12212-4890",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "--",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2537 STATE ROUTE 9 STE 230",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BALLSTON SPA",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "12020-4333",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "518-451-7510",
    "PracticeLocationAddressFaxNumber": "518-621-5673",
    "EnumerationDate": "07/19/2022",
    "LastUpdateDate": "01/22/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363A00000X",
        "TaxonomyName": "Physician Assistant",
        "LicenseNumber": "028526",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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