MEDICARE: MEAGHAN JOHNSON

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	207Q00000X	Family Medicine Physician	MD29411	ME

General Provider Information

NPI Number	:	1932546884
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEAGHAN JOHNSON

Provider Business Mailing Address
First Line	:	300 SOUTHBOROUGH DR STE 120
Second Line	:
City	:	SOUTH PORTLAND
State	:	ME
Zip	:	04106-6978
Country	:	US
Telephone Number	:	207-347-2947
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 FODEN RD STE 203
Second Line	:
City	:	SOUTH PORTLAND
State	:	ME
Zip	:	04106-2327
Country	:	US
Telephone Number	:	207-874-1489
Fax Number	:

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

Provider Enumeration Date	:	06/03/2013
Last Update Date	:	10/17/2025

Similar Medicare Providers

1730072711 — COREY-MICHAEL WILCOX FNP
Practice Location Address:

100 FODEN RD STE 203
SOUTH PORTLAND, ME
04106-2327

Practice Phone: 207-874-1489
Practice Fax:

1265536445 — BENJAMIN D LIESS MD
Practice Location Address:

100 FODEN RD, WEST , SUITE 100
SOUTH PORTLAND, ME
04106-2327

Practice Phone: 207-347-2910
Practice Fax: 207-523-8591

1568460640 — JONATHAN G EVANS M.D.
Practice Location Address:

100 FODEN RD STE 103
SOUTH PORTLAND, ME
04106-2327

Practice Phone: 207-828-1122
Practice Fax:

1972583003 — ROSEMARIE M WAGNER P.T.
Practice Location Address:

100 FODEN RD, WEST , SUITE 205
SOUTH PORTLAND, ME
04106-2327

Practice Phone: 207-780-8860
Practice Fax: 207-780-8857

1497729297 — MS. VICTORIA L LAZARETH NP
Practice Location Address:

100 FODEN RD STE 203
SOUTH PORTLAND, ME
04106-2327

Practice Phone: 207-523-3900
Practice Fax:

1053380741 — MS. SARAH FUHRMAN FNP
Practice Location Address:

100 FODEN RD , SUITE 203
SOUTH PORTLAND, ME
04106-2327

Practice Phone: 207-874-1489
Practice Fax: 207-523-8590

1215906904 — MS. LAURIE MARTENS PAC
Practice Location Address:

100 FODEN RD E , STE 203
SOUTH PORTLAND, ME
04106-2327

Practice Phone: 207-874-1489
Practice Fax: 207-523-8590

Directions to “ MEAGHAN JOHNSON ” 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 © 2007-2025 (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.