National Provider Identifier
Meghan Marie Ballou, PA-C
Meghan Marie Ballou, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Orchard Park, NY and a listed phone number of (716) 675-7000.
Profile Overview
- NPI
- 1467029454
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- June 08, 2021
- Last Updated
- May 20, 2024
Practice Location
- 3045 Southwestern Blvd Ste 104
- Orchard Park, NY 14127-1209
Phone: (716) 675-7000
Mailing Address
- 2760 Kulp RD
- Eden, NY 14057-9410
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1467029454
- Entity Type
- Individual
- Last Name
- Ballou
- First Name
- Meghan
- Middle Name
- Marie
- Credential
- PA-C
- Mailing Street Address
- 2760 Kulp RD
- Mailing City
- Eden
- Mailing State
- NY
- Mailing ZIP Code
- 14057-9410
- Mailing Country
- US
- Mailing Phone
- (716) 799-7686
- Practice Street Address
- 3045 Southwestern Blvd Ste 104
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-1209
- Practice Country
- US
- Practice Phone
- (716) 675-7000
- Practice Fax
- (716) 674-4659
- Enumeration Date
- June 08, 2021
- Last Updated
- May 20, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 20, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)