Provider Demographics
NPI:1427078443
Name:HART, MEEGHAN A (MD)
Entity type:Individual
Prefix:
First Name:MEEGHAN
Middle Name:A
Last Name:HART
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 1:24701 EUCLID AVE
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44117-1714
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11100 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1716
Practice Address - Country:US
Practice Address - Phone:216-844-7700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2011-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-0782132080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000526028OtherANTHEM
PA1008463650001OtherPA MEDICAID
MI1427078443Medicaid
OH000000229939OtherANTHEM
OH737667OtherBUCKEYE
OH2335468OtherBCMH
OH2335468Medicaid
OH363615OtherWELLCARE
OH000000221036OtherUNISON
OH7852349OtherAETNA
OH737667OtherBUCKEYE
OHH62459Medicare UPIN
MI1427078443Medicaid