Provider Demographics
NPI:1831514082
Name:ADY, MEGAN SENSABAUGH (PA-C)
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:SENSABAUGH
Last Name:ADY
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3881 CHURCHVILLE AVENUE
Mailing Address - Street 2:
Mailing Address - City:CHURCHVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24421
Mailing Address - Country:US
Mailing Address - Phone:540-245-7800
Mailing Address - Fax:
Practice Address - Street 1:3881 CHURCHVILLE AVENUE
Practice Address - Street 2:
Practice Address - City:CHURCHVILLE
Practice Address - State:VA
Practice Address - Zip Code:24421
Practice Address - Country:US
Practice Address - Phone:540-245-7800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-25
Last Update Date:2014-09-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0110-004483363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant