MEDICARE: ALISON KNAUTH MEADOWS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	224267	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	470500	OTHER	MA	TUFTS HEALTH PLAN
2	J29184	OTHER	MA	BCBS MA
3	J29184	OTHER	MA	BLUE CARE ELECT
4	AA41126	OTHER	MA	HARVARD PILGRIM
5	96697501	OTHER	MA	NETWORK HEALTH
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	J29184	OTHER	MA	HMO BLUE

General Provider Information

NPI Number	:	1023099215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISON KNAUTH MEADOWS MD

Provider Business Mailing Address
First Line	:	UNIVERSITY OF CALIFORNIA SAN FRANCISCO
Second Line	:	400 PARNASSUS AVE, AC09N, BOX 0628
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94143-0001
Country	:	US
Telephone Number	:	415-353-2756
Fax Number	:

Provider Business Practice Location Address
First Line	:	UNIVERSITY OF CALIFORNIA SAN FRANCISCO
Second Line	:	400 PARNASSUS AVE
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94143-0001
Country	:	US
Telephone Number	:	415-353-2756
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2005
Last Update Date	:	12/21/2021

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