MEGHAN MULLIGAN
UNIVERSITY OF PENN MEDICAL GROUP

Address: 3400 Civic Ctr Blvd 4th, Endo and Onc Surg PCam 4th Fl, Philadelphia, PA 19104-5127

MEGHAN MULLIGAN (NPI# 1053915785, PAC ID# 2860894821) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1053915785
by National Plan and Provider Enumeration System (NPPES)
PECOS Associate Control (PAC) ID 2860894821
by Medicare Provider Enrollment and Chain/Ownership System (PECOS)
Professional Enrollment ID I20210713002818
Last Name MULLIGAN
First Name MEGHAN
Gender F
Organization Legal Name UNIVERSITY OF PENN MEDICAL GROUP
Address 3400 Civic Ctr Blvd 4th
Endo and Onc Surg PCam 4th Fl
Philadelphia
PA 19104-5127
Telephone 2156622626
Graduation Year 2019
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 6204730955
Number of Group Practice Members 2570
Professional Accepts Medicare Assignment Y
Group Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
390111 HOSPITAL OF UNIV OF PENNSYLVANIA
390179 CHESTER COUNTY HOSPITAL
390223 PENN PRESBYTERIAN MEDICAL CENTER

Provider Overview

Nation Provider ID (NPI) 1053915785
by National Plan and Provider Enumeration System (NPPES)
Full Name MEGHAN MULLIGAN
Other Name MEGHAN GRAS
Taxonomy Code 363LF0000X
Taxonomy Classification Nurse Practitioner · Family
Location 3400 Spruce St, Philadelphia, PA 19104-4238

Organization Information

Organization Legal Name UNIVERSITY OF PENN MEDICAL GROUP

Physicians in the same organization

Name Specialty Organization Address
Samuel Kovell Physician Assistant University of Penn Medical Group 3400 Civic Ctr Blvd 3rd Floor S Pavilion, Penn Medicine Otorhinolaryngology Head and Neck Surger, Philadelphia, PA 19104-5127
Laura Theresa Ferguson Pulmonary Disease University of Penn Medical Group 3400 Civic Ctr Blvd 1st, Harron Lung PCam, Philadelphia, PA 19104-4306
Laureen Delgado Nurse Practitioner University of Penn Medical Group 51 N 39th Stret, Hospital Med Presby, Philadelphia, PA 19104-2640
Norman Y Schoenberg Diagnostic Radiology University of Penn Medical Group 3737 Market St, Fl 8, Philadelphia, PA 19104-5545
Casey Jo Humbyrd General Surgery University of Penn Medical Group 230 W Washington Square 5th Floor, Orthopedic Foot and Ankle, Philadelphia, PA 19106-3500
Claudia Hossain Micrographic Dermatologic Surgery (mds) University of Penn Medical Group 800 Walnut Street 16th Floor, Dermatology Wash Sq, Philadelphia, PA 19107-5109
Ghazal Quinn Nephrology University of Penn Medical Group 3400 Spruce St 210 White Bldg, Renal Electrolyte Hup, Philadelphia, PA 19104-4228
Maria Vershvovsky Hematology/Oncology University of Penn Medical Group 440 E Marshall St, 101 Hem Onc West Chester, West Chester, PA 19380-5415
Alyssa Mixon Physical Medicine and Rehabilitation University of Penn Medical Group 1800 Lombard Street Ground Floor, Phys Med and Rehab Ritten, Philadelphia, PA 19146-1498
Tarenne A Ferenchak Nurse Practitioner University of Penn Medical Group 3400 Civic Ctr Blvd 2nd Flr W, Advanced Internal Med, Philadelphia, PA 19104-5127
Find all physicians in the same organization

Office Location

Street Address 3400 CIVIC CTR BLVD 4TH
ENDO AND ONC SURG PCAM 4TH FL
City PHILADELPHIA
State PA
Zip Code 19104-5127

Physicians in the same location

Name Specialty Organization Address
Steven S Scherer Neurology University of Penn Medical Group 3400 Civic Ctr Blvd 4th Floor Perelman W, Gi Surgery PCam, Philadelphia, PA 19104-5127
Bethany Jade Thomas Nurse Practitioner University of Penn Medical Group 3400 Civic Ctr Blvd 4th Floor Perelman W, Gi Surgery PCam, Philadelphia, PA 19104-5127
Jennifer Villasenor-Park Dermatology University of Penn Medical Group 3400 Civic Ctr Blvd 4th Floor Perelman W, Gi Surgery PCam, Philadelphia, PA 19104-5127
Joseph M Serletti Plastic and Reconstructive Surgery University of Penn Medical Group 3400 Civic Ctr Blvd 4th Floor, Advanced Wound Healing and Lower Extremity Reconstructi, Philadelphia, PA 19104-5127
Maria B Molina Nurse Practitioner University of Penn Medical Group 3400 Civic Ctr Blvd 4th Floor Perelman W, Gi Surgery PCam, Philadelphia, PA 19104-5127
Kate M Barrie Physician Assistant University of Penn Medical Group 3400 Civic Ctr Blvd 4th Floor Perelman W, Gi Surgery PCam, Philadelphia, PA 19104-5127
Brett Chatman Podiatry University of Penn Medical Group 3400 Civic Ctr Blvd 4th Floor, Advanced Wound Healing and Lower Extremity Reconstructi, Philadelphia, PA 19104-5127
Lauren M Massimo Nurse Practitioner University of Penn Medical Group 3400 Civic Ctr Blvd 4th Floor Perelman W, Gi Surgery PCam, Philadelphia, PA 19104-5127
Dina Jacobs Neurology University of Penn Medical Group 3400 Civic Ctr Blvd 4th Floor Perelman W, Gi Surgery PCam, Philadelphia, PA 19104-5127
Kristin L Weber Orthopedic Surgery University of Penn Medical Group 3400 Civic Ctr Blvd 4th Floor Perelman W, Gi Surgery PCam, Philadelphia, PA 19104-5127
Find all in the same location

Physicians in the same zip code

Name Specialty Organization Address
Jay Pathmanathan Neurology University of Penn Medical Group 3400 Civic Ctr Blvd, Fl 2, Philadelphia, PA 19104-5127
Sara L Partington Cardiovascular Disease (cardiology) University of Penn Medical Group 3400 Civic Ctr Blvd, Suite 2, Philadelphia, PA 19104-5127
Ursina R Teitelbaum Medical Oncology University of Penn Medical Group 3400 Civic Ctr Blvd, Fl 2, Philadelphia, PA 19104-5127
Thomas J Guzzo Urology University of Penn Medical Group 3400 Civic Ctr Blvd, Philadelphia, PA 19104-5127
Kofi-Buaku Atsina Diagnostic Radiology University of Penn Medical Group 3400 Civic Ctr Blvd, Philadelphia, PA 19104-5127
Lee R Goldberg Advanced Heart Failure and Transplant Cardiology University of Penn Medical Group 3400 Civic Ctr Blvd, Suite 2, Philadelphia, PA 19104-5127
Michael L Kochman Gastroenterology University of Penn Medical Group 3400 Civic Ctr Blvd, Fl 4, Philadelphia, PA 19104-5127
Daniel Lavi Southren Anesthesiology University of Penn Medical Group 3400 Civic Ctr Blvd, Philadelphia, PA 19104-5127
Samuel Kovell Physician Assistant University of Penn Medical Group 3400 Civic Ctr Blvd 3rd Floor S Pavilion, Penn Medicine Otorhinolaryngology Head and Neck Surger, Philadelphia, PA 19104-5127
Rotonya L Mccants Carr Internal Medicine University of Penn Medical Group 3400 Civic Ctr Blvd, Fl 4, Philadelphia, PA 19104-5127
Find all in zip 19104-5127

Physicians in the same zip code prefix

Name Specialty Organization Address
Brian J Forbes Ophthalmology Children's Surgical Associates Ltd 34 Th and Civic Ctr Blvd, Philadelphia, PA 19104
Ralph F Wetmore Otolaryngology Children's Surgical Associates Ltd 34 Th and Civic Ctr Blvd, Philadelphia, PA 19104
John M Flynn Orthopedic Surgery Children's Surgical Associates Ltd 34 Th and Civic Ctr Blvd, Philadelphia, PA 19104
Juliana S Gebb Obstetrics/Gynecology Children's Surgical Associates Ltd 34 Th and Civic Ctr Blvd, Philadelphia, PA 19104
Mark D Rizzi Otolaryngology Children's Surgical Associates Ltd 34 Th and Civic Ctr Blvd, Philadelphia, PA 19104
Alanna Windsor Otolaryngology Children's Surgical Associates Ltd 34 Th and Civic Ctr Blvd, Philadelphia, PA 19104
Helen Horstmann Orthopedic Surgery Children's Surgical Associates Ltd 34 Th and Civic Ctr Blvd, Philadelphia, PA 19104
Jodi E Slepian Obstetrics/Gynecology Children's Surgical Associates Ltd 34 Th and Civic Ctr Blvd, Philadelphia, PA 19104
Christopher E Mascio Cardiac Surgery Children's Surgical Associates Ltd 34 Th and Civic Ctr Blvd, Philadelphia, PA 19104
Shih-Shan Lang Chen Neurosurgery Children's Surgical Associates Ltd 34 Th and Civic Ctr Blvd, Philadelphia, PA 19104
Find all in zip 19104

Competitor

Search similar physicians

City PHILADELPHIA
Zip Code 19104
Specialty NURSE PRACTITIONER
City + Specialty PHILADELPHIA + NURSE PRACTITIONER

Physicians with similar names

Name Specialty Organization Address
Jay P Mulligan Jr. Chiropractic 11872 Gravois Rd, Saint Louis, MO 63127-1800
Jacalyn M Mulligan Clinical Social Worker 714 Southbridge St, B, Auburn, MA 01501-1835
William L Mulligan Psychologist, Clinical William L Mulligan Phd PC 1403 Greenbrier Pkwy, Chesapeake, VA 23320-0608
Timothy R Mulligan Internal Medicine 1850 Sullivan Ave, Suite 115, Daly City, CA 94015-2209
Brian A Mulligan Physical Therapy 660 Newtown-Yardley Rd, Suite 202, Newtown, PA 18940-1759
Lesa J Bethel Mulligan Obstetrics/Gynecology 1139 36th Ave Nw, Suite 100, Norman, OK 73072-4104
Kelly S Mulligan Physician Assistant Ut Physicians 6410 Fannin St, Houston, TX 77030-3005
Abigail Mulligan Physical Therapy Live Every Day L.l.c 768 S St, Suffield, CT 06078-2514
Samantha L Zbur Psychologist, Clinical William L Mulligan Phd PC 1403 Greenbrier Pkwy, Suite 215, Chesapeake, VA 23320-0608
David C Mulligan General Surgery Yale University 800 Howard Ave, New Haven, CT 06519-1369

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.