MEDICARE: MEAGAN DANIELLE RIGGS

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	PA3047	KY
2	363A00000X	Physician Assistant	50.007541	OH

General Provider Information

NPI Number	:	1720700834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEAGAN DANIELLE RIGGS

Provider Business Mailing Address
First Line	:	5885 HARRISON AVE STE 3900
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45248-1741
Country	:	US
Telephone Number	:	513-272-0313
Fax Number	:	513-272-0316

Provider Business Practice Location Address
First Line	:	5885 HARRISON AVE STE 3900
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45248-1741
Country	:	US
Telephone Number	:	513-272-0313
Fax Number	:	513-272-0316

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

Provider Enumeration Date	:	09/15/2022
Last Update Date	:	02/19/2025

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Directions to “ MEAGAN DANIELLE RIGGS ” Practice Location

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