| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MEGHAN SHACKFORD DAWSON | 1205494739 | 2019-05-30 |
Meghan Shackford Dawson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1205494739. Registration indicates Meghan Shackford Dawson is a provider of access to ob/gyn services with a specialization in Allopathic & Osteopathic Physicians, Obstetrics & Gynecology (Allopathic & Osteopathic Physicians, Obstetrics & Gynecology) (Obstetrics & Gynecology, ) (Specialist Network, ) (Obstetrics & Gynecology, Allopathic & Osteopathic Physicians) (Student, Health Care, Student in an Organized Health Care Education/Training Program) (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) Access to OB/GYN (Allopathic & Osteopathic Physicians, Obstetrics & Gynecology) (Allopathic & Osteopathic Physicians, Obstetrics & Gynecology) (Obstetrics & Gynecology, ) (Specialist Network, ) (Obstetrics & Gynecology, Allopathic & Osteopathic Physicians)
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Meghan Shackford Dawson DO |
| Other Provider Name | Meghan Clare Shackford |
| Practice Office Address | 1 WYOMING ST DAYTON, OH US |
| Practice Office Telephone | 8023380875 |
| Mailing Address | 128 E APPLE ST STE 3800 DAYTON, OH 454092902 US |
| Code | Practice | License No State |
|---|---|---|
| 207V00000X | Access to OB/GYN Allopathic & Osteopathic Physicians Obstetrics & Gynecology Allopathic & Osteopathic Physicians Obstetrics & Gynecology Obstetrics & Gynecology Specialist Network Obstetrics & Gynecology Allopathic & Osteopathic Physicians | 77643-21
WI |
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | 58.031055
OH |
| 207V00000X PRIMARY | Access to OB/GYN Allopathic & Osteopathic Physicians Obstetrics & Gynecology Allopathic & Osteopathic Physicians Obstetrics & Gynecology Obstetrics & Gynecology Specialist Network Obstetrics & Gynecology Allopathic & Osteopathic Physicians | 58.031055
OH |
| 77643-21 | OTHER | WI | MEDICAL LICENSE |