Healthcare Provider Details

I. General information

NPI: 1073002804
Provider Name (Legal Business Name): MEGAN MARIE WRIGHT PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN BUTLER

II. Dates (important events)

Enumeration Date: 05/07/2018
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8240 NORTHCREEK DR STE 1100
CINCINNATI OH
45236-0707
US

IV. Provider business mailing address

8240 NORTHCREEK DR STE 1100
CINCINNATI OH
45236-0707
US

V. Phone/Fax

Practice location:
  • Phone: 513-853-1480
  • Fax: 513-984-6976
Mailing address:
  • Phone: 513-853-1480
  • Fax: 513-984-6976

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number50.009208RX
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMA059749
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: