Healthcare Provider Details

I. General information

NPI: 1114884186
Provider Name (Legal Business Name): MEGAN MICHELE SIZEMORE PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2026
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2123 AUBURN AVE STE 441
CINCINNATI OH
45219-2906
US

IV. Provider business mailing address

23 MCMILLAN DR
INDEPENDENCE KY
41051-9379
US

V. Phone/Fax

Practice location:
  • Phone: 513-721-7373
  • Fax:
Mailing address:
  • Phone: 859-609-7469
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: