Healthcare Provider Details

I. General information

NPI: 1962027219
Provider Name (Legal Business Name): MEGAN SATTERFIELD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MEGAN MIDDLETON MD

II. Dates (important events)

Enumeration Date: 06/12/2020
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEDICAL VILLAGE DRIVE
EDGEWOOD KY
41017-3403
US

IV. Provider business mailing address

P.O. BOX 635283
CINCINNATI OH
45263-5283
US

V. Phone/Fax

Practice location:
  • Phone: 859-757-2927
  • Fax: 859-341-0203
Mailing address:
  • Phone: 859-344-5555
  • Fax: 859-344-5552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number125.076892
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number61847
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: