National Provider Identifier Database

PHILLIP E MEEHAN, PA – NPI #1609809094
Surgical

Contact Information

PHILLIP E MEEHAN, PA
1301 S. CLIFF AVE
STE 610
SIOUX FALLS, SD  57105-1032
Phone: 605-322-8860
Fax: 605-322-8868
Website:
Specialty Taxonomy Code
* Surgical 363AS0400X

* Indicates primary specialty

NPI Profile & details for PHILLIP E MEEHAN

NPI Number 1609809094
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 07/08/2006
Last updated 12/18/2013 - About 12 years ago
Sole proprietor1 No
Identifiers
  • SD License #: 0571
  • IA Medicaid: 1821021304
  • NE Medicaid: 10025568900
  • SD Medicaid: 6827152
  • MN Other: 46L92ME CC SYSTEMS/ BLUE PLUS
  • SD Other: 1609809094 ARAZ/ AMERICA'S PPO
  • SD Other: 4992676 BLUE CROSS
  • SD Other: 9238709 DAKOTACARE
  • SD Other: 0127834 MEDICA
  • SD Other: 248340 MIDLAND'S CHOICE
  • SD Other: 248340 MIDLANDS CHOICE
  • SD Other: C83141041559 PREFERRED ONE
  • SD Other: 57105AT04 WPS TRICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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