MEDICARE: MEGAN DANIELLE EVANS WARDAK M.D

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	208600000X	Surgery Physician	2023-01160	NC
2	208600000X	Surgery Physician	MD471785	PA
3	208600000X	Surgery Physician	MT208066	PA

General Provider Information

NPI Number	:	1639557820
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN DANIELLE EVANS WARDAK M.D

Provider Business Mailing Address
First Line	:	100 N ACADEMY AVE
Second Line	:
City	:	DANVILLE
State	:	PA
Zip	:	17822-4903
Country	:	US
Telephone Number	:	570-271-6144
Fax Number	:	570-271-6578

Provider Business Practice Location Address
First Line	:	100 N ACADEMY AVE
Second Line	:
City	:	DANVILLE
State	:	PA
Zip	:	17822-6202
Country	:	US
Telephone Number	:	570-271-6361
Fax Number	:	570-271-5785

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

Provider Enumeration Date	:	05/08/2015
Last Update Date	:	02/02/2026

Similar Medicare Providers

1033590104 — KRISTIN LORRAINE MARTIN M.D.
Practice Location Address:

100 N ACADEMY AVE
DANVILLE, PA
17822-6202

Practice Phone: 570-271-6298
Practice Fax: 570-271-5841

1730039413 — JENSEN WARY
Practice Location Address:

100 N ACADEMY AVE
DANVILLE, PA
17822-0001

Practice Phone: 570-271-6429
Practice Fax:

1235770702 — JOHN BAK CRNP
Practice Location Address:

100 N ACADEMY AVE
DANVILLE, PA
17822-2695

Practice Phone: 570-271-6523
Practice Fax: 570-271-8056

1851041412 — RYAN FITZNER DO
Practice Location Address:

100 N ACADEMY AVE # MC13-10
DANVILLE, PA
17822-9800

Practice Phone: 570-271-6812
Practice Fax:

1023745189 — COURTNEY DANIELLE ALEXANDER PA
Practice Location Address:

100 N ACADEMY AVE
DANVILLE, PA
17822-9800

Practice Phone: 570-214-9585
Practice Fax: 570-214-9519

1528061355 — DR. JOHN ALAN SEMIAN MD
Practice Location Address:

100 N ACADEMY AVE
DANVILLE, PA
17822-7615

Practice Phone: 570-271-6361
Practice Fax: 570-271-5785

Directions to “ MEGAN DANIELLE EVANS WARDAK M.D” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.