Provider Demographics
NPI:1487896791
Name:HILL, MEGAN E (MD)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:E
Last Name:HILL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:E
Other - Last Name:KAMERER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1050 SE MONTEREY RD
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-4512
Mailing Address - Country:US
Mailing Address - Phone:772-678-7043
Mailing Address - Fax:
Practice Address - Street 1:1155 35TH LN STE 100
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-6522
Practice Address - Country:US
Practice Address - Phone:772-569-2330
Practice Address - Fax:772-569-2630
Is Sole Proprietor?:No
Enumeration Date:2009-04-01
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-13863207Q00000X
OH35098000207Q00000X
390200000X
FLME121126207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9312731OtherMEDICARE GROUP PTAN NUMBER
OHH130471OtherMEDICARE INDIVIDUAL PTAN NUMBER
OH35-098000OtherLICENSE NUMBER
OH12446174OtherCAQH NUMBER
OH0079380Medicaid
FLME121126OtherFLORIDA MEDICAL LICENSE
OH0079380Medicaid