Provider Demographics
NPI:1184240921
Name:MEGILL, ROBIN D (MD)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:D
Last Name:MEGILL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1160 MANHEIM PIKE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-3127
Mailing Address - Country:US
Mailing Address - Phone:717-869-4689
Mailing Address - Fax:
Practice Address - Street 1:1160 MANHEIM PIKE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-3127
Practice Address - Country:US
Practice Address - Phone:178-694-6897
Practice Address - Fax:717-869-4690
Is Sole Proprietor?:No
Enumeration Date:2020-06-17
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT220749390200000X
PAMD482854207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program