Provider Demographics
NPI:1194343699
Name:GERHARD, MEGAN (MHS, PA-C)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:GERHARD
Suffix:
Gender:F
Credentials:MHS, PA-C
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:I
Other - Last Name:BOYLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MHS, PA-C
Mailing Address - Street 1:8775 NORWIN AVE STE C1
Mailing Address - Street 2:
Mailing Address - City:NORTH HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:15642-2718
Mailing Address - Country:US
Mailing Address - Phone:724-850-3150
Mailing Address - Fax:724-765-1172
Practice Address - Street 1:8775 NORWIN AVE STE C1
Practice Address - Street 2:
Practice Address - City:NORTH HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:15642-2718
Practice Address - Country:US
Practice Address - Phone:724-850-3150
Practice Address - Fax:724-765-1172
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-10
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA061672363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Multi-Specialty