MEDICARE: MEGAN MICHELE SIZEMORE PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1114884186
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN MICHELE SIZEMORE PA-C

Provider Business Mailing Address
First Line	:	23 MCMILLAN DR
Second Line	:
City	:	INDEPENDENCE
State	:	KY
Zip	:	41051-9379
Country	:	US
Telephone Number	:	859-609-7469
Fax Number	:

Provider Business Practice Location Address
First Line	:	2123 AUBURN AVE STE 441
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45219-2906
Country	:	US
Telephone Number	:	513-721-7373
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2026
Last Update Date	:	01/09/2026

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