Provider Demographics
NPI:1346414737
Name:BATCHELDER, MEGAN HARRIS (MD)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:HARRIS
Last Name:BATCHELDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:FEDERSPIEL
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:186 MEDICAL VILLAGE DR
Mailing Address - Street 2:SUITE 2
Mailing Address - City:NEWPORT
Mailing Address - State:VT
Mailing Address - Zip Code:05855-8537
Mailing Address - Country:US
Mailing Address - Phone:802-334-3520
Mailing Address - Fax:802-334-3512
Practice Address - Street 1:186 MEDICAL VILLAGE DR
Practice Address - Street 2:SUITE 2
Practice Address - City:NEWPORT
Practice Address - State:VT
Practice Address - Zip Code:05855-8537
Practice Address - Country:US
Practice Address - Phone:802-334-3520
Practice Address - Fax:802-334-3512
Is Sole Proprietor?:No
Enumeration Date:2008-04-16
Last Update Date:2021-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0420012294207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT002444301OtherMEDICARE PTAN
VT1019736Medicaid