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NPI Code Detail

MEDICARE: MRS. MEGAN ELIZABETH THOMSON PA-C

MEDICARE: MRS. MEGAN ELIZABETH THOMSON PA-C
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
1363A00000XPhysician Assistant50.008291RXOH
2363A00000XPhysician AssistantMI

General Provider Information

NPI Number : 1619099116
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MEGAN ELIZABETH THOMSON PA-C
Provider Business Mailing Address
First Line : 368 CASCADE CT
Second Line :
City : AVON LAKE
State : OH
Zip : 44012-3116
Country : US
Telephone Number : 479-790-6288
Fax Number :
Provider Business Practice Location Address
First Line : 2049 E 100TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-2104
Country : US
Telephone Number : 216-990-0715
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2007
Last Update Date : 09/30/2025

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