Provider Demographics
NPI:1518182476
Name:RANNEY, MEGAN L (MD)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:L
Last Name:RANNEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 YORK ST
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06510-3220
Mailing Address - Country:US
Mailing Address - Phone:203-688-4242
Mailing Address - Fax:
Practice Address - Street 1:164 SUMMIT AVE
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-2853
Practice Address - Country:US
Practice Address - Phone:401-793-3100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILP00243207P00000X
RIMD12662207P00000X
CT76543207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI07/28/2008OtherBLUECHIP
RI08/14/2008OtherNHPRI
RI04152009OtherUNITED HEALTHCARE
MA12/29/2008OtherTUFTS HEALTH PLAN
RI007060286OtherRI MEDICARE
RI1518182476OtherNPI
RIMR71746Medicaid
MA2169789Medicaid
RI939025129OtherRI MEDICARE GROUP NUMBER