MEDICARE: DR. JON KRISTIAN RIGGS DO

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	207P00000X	Emergency Medicine Physician	34-008243	OH

General Provider Information

NPI Number	:	1871514448
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JON KRISTIAN RIGGS DO

Provider Business Mailing Address
First Line	:	3131 NEWMARK DR STE 220
Second Line	:
City	:	MIAMISBURG
State	:	OH
Zip	:	45342-5400
Country	:	US
Telephone Number	:	937-438-8910
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 W MAIN ST
Second Line	:
City	:	TROY
State	:	OH
Zip	:	45373-3384
Country	:	US
Telephone Number	:	937-980-7010
Fax Number	:

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

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	10/29/2024

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