Individual provider Active NPI

Andrew M Wigger, PA-C

  • Surgical Physician Assistant
  • Cincinnati, OH
National Provider Identifier
1548681620
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
50003962RX Issued in OH
Practice address
4700 E Galbraith Rd # 300a
Cincinnati, OH 45236-2754
Phone
(513) 347-9999
Fax
(513) 686-4217
NPI assigned
Dec 17, 2013
Last updated
Mar 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50003962 OH
Surgical Physician Assistant 363AS0400X 50003962RX OH Primary

Addresses

Primary practice location

4700 E Galbraith Rd # 300a
Cincinnati, OH 45236-2754

Mailing address

4700 E Galbraith Rd # 300a
Cincinnati, OH 45236-2754
Phone (513) 347-9999

Other practice location 1

10663 Montgomery Rd
Cincinnati, OH 45242
Phone (513) 347-9999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140131000936 OH Practitioner - Physician Assistant 2466681002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Lincoln Memorial University Medical Department, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

201 Old Bank Rd
Suite 103
Milford, OH 45150-2443
Phone (513) 624-2070

3000 Hospital Dr
Batavia, OH 45103-1921
Phone (513) 732-8629

7502 State Rd
Suite 2210a
Cincinnati, OH 45255-2596
Phone (513) 751-4222

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50003962OHMDPhysician Assistant
50003962RXOHMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati Specialty Care LLC Physician Assistant CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Cincinnati, LLC Physician Assistant CurrentSince Jul 1, 2018 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Cincinnati LLC CurrentSince Jul 1, 2018 Accepting new patients

Locations

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

4450 Eastgate Blvd
Ste 300
Cincinnati, OH 45245
Phone (513) 981-4202

4700 E Galbraith Rd
Ste 300A
Cincinnati, OH 45236
Phone (513) 924-1370

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

10663 Montgomery Rd
Montgomery, OH 45242
Phone (513) 794-8465

7109 Bachman Rd
Sardinia, OH 45171
Phone (937) 446-2531

Interoperability endpoints

  • Direct secure messaging: awigger450793@direct.bsmhealth.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1548681620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 E GALBRAITH RD # 300A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362754",
            "telephone_number": "513-347-9999",
            "fax_number": "513-686-4217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 E GALBRAITH RD # 300A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362754",
            "telephone_number": "513-347-9999",
            "fax_number": "513-686-4217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10663 Montgomery Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "45242",
            "country_code": "US",
            "telephone_number": "513-347-9999",
            "fax_number": "513-792-3239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIGGER",
        "first_name": "ANDREW",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-17",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50003962",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OH",
            "license": "50003962RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.