Provider Demographics
NPI:1154352912
Name:MEGASON, FRANCES GAIL (MD)
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:GAIL
Last Name:MEGASON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2705
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35804-2705
Mailing Address - Country:US
Mailing Address - Phone:256-801-6047
Mailing Address - Fax:
Practice Address - Street 1:910 ADAMS ST SE STE 310
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-3757
Practice Address - Country:US
Practice Address - Phone:256-265-5833
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS110552080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS512I370100OtherMEDICARE PTAN
LA1989185Medicaid
MS512I930407OtherPTAN - UNIVERSITY PHYSICIANS
MS00113705Medicaid
MS370000416OtherMEDICARE PIN 2007
MS512I370100OtherMEDICARE PTAN
MSI09036Medicare UPIN