Provider Demographics
NPI:1336246669
Name:HUFF, MEGAN D (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:D
Last Name:HUFF
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 802843
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64180-2843
Mailing Address - Country:US
Mailing Address - Phone:417-730-6430
Mailing Address - Fax:417-269-7567
Practice Address - Street 1:1530 E. REPUBLIC RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-6530
Practice Address - Country:US
Practice Address - Phone:417-269-1362
Practice Address - Fax:417-269-1372
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2005004538363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
176135OtherBCBS
250766OtherHEALTHLINK
4242OtherBCBS
P00179608OtherRAILROAD MEDICARE
197692OtherBCBS
2578OtherCOX HEALTH SYSTEMS
17854OtherCOX HEALTH SYSTEMS
193649OtherHEALTHLINK
526357OtherHEALTHLINK
P00143367OtherRAILROAD MEDICARE
126814OtherBCBS
17854OtherCOX HEALTH SYSTEMS
193649OtherHEALTHLINK