Provider Demographics
NPI:1871910042
Name:OBERHAUSER, MEGAN LYNN (DO)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:LYNN
Last Name:OBERHAUSER
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:LYNN
Other - Last Name:SIEFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:24 E WHITNEY AVE
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:OH
Mailing Address - Zip Code:44875-1282
Mailing Address - Country:US
Mailing Address - Phone:567-247-0881
Mailing Address - Fax:567-247-0882
Practice Address - Street 1:24 E WHITNEY AVE
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:OH
Practice Address - Zip Code:44875-1282
Practice Address - Country:US
Practice Address - Phone:567-247-0881
Practice Address - Fax:567-247-0882
Is Sole Proprietor?:No
Enumeration Date:2014-03-25
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.013159207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine