Basic Information
Provider Information
NPI: 1780093914
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: OAKES
FirstName: MEAGAN
MiddleName: ANN
NamePrefix: MS.
NameSuffix:  
Credential: PA-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 111 COLCHESTER AVE
Address2: UVM MEDICAL CENTER-HOSPITALISTS
City: BURLINGTON
State: VT
PostalCode: 054011473
CountryCode: US
TelephoneNumber: 8028477911
FaxNumber: 8028475784
Practice Location
Address1: 111 COLCHESTER AVE
Address2: UVM MEDICAL CENTER-HOSPITALISTS
City: BURLINGTON
State: VT
PostalCode: 054011473
CountryCode: US
TelephoneNumber: 8028477911
FaxNumber: 8028475784
Other Information
ProviderEnumerationDate: 08/13/2014
LastUpdateDate: 09/06/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363A00000X055.0031313VTY Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 

No ID Information.


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