Provider Demographics
NPI:1073002804
Name:WRIGHT, MEGAN MARIE (PA-C)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:MARIE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:BUTLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8240 NORTHCREEK DR STE 1100
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-0707
Mailing Address - Country:US
Mailing Address - Phone:513-853-1480
Mailing Address - Fax:513-984-6976
Practice Address - Street 1:8240 NORTHCREEK DR STE 1100
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-0707
Practice Address - Country:US
Practice Address - Phone:513-853-1480
Practice Address - Fax:513-984-6976
Is Sole Proprietor?:No
Enumeration Date:2018-05-07
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA059749363AM0700X
OH50.009208RX363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical