Basic Information
| Provider Information | |||||||||
| NPI: | 1235338955 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MCINERNEY | ||||||||
| FirstName: | MEGHAN | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3340 E GOLDSTONE WAY | ||||||||
| Address2: | |||||||||
| City: | MERIDIAN | ||||||||
| State: | ID | ||||||||
| PostalCode: | 836421026 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2083022000 | ||||||||
| FaxNumber: | 2083022055 | ||||||||
| Practice Location | |||||||||
| Address1: | 1075 N CURTIS ROAD | ||||||||
| Address2: | STE 200 | ||||||||
| City: | BOISE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 837061350 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2083022000 | ||||||||
| FaxNumber: | 2083022055 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/12/2007 | ||||||||
| LastUpdateDate: | 05/26/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 018530 | ME | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RP1001X | 11016461A | IN | N | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease | 208M00000X | 018530 | ME | N | Allopathic & Osteopathic Physicians | Hospitalist | 207RP1001X | M-13166 | ID | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease |
No ID Information.