NPIMap

Organization Active NPI

88TH Medgrp-Wright-Patterson

  • Psychiatric Hospital Unit
  • Wpafb, OH
National Provider Identifier
1124206594
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
88TH MEDGRP-WRIGHT-PATTERSON
Practice address
88 Sugar Maple Dr.
Wpafb, OH 45433
Phone
(937) 257-1363
NPI assigned
Feb 7, 2008
Last updated
Mar 12, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
WRIGHT-PATTERSON MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Authorized official

Name
Dr. Randon Welton, M.D.
Title
Program Director
Phone
(937) 257-1363

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Psychiatric Hospital Unit 273R00000X Primary
General Acute Care Hospital 282N00000X
Psychiatric Hospital 283Q00000X
Military Hospital 286500000X

Addresses

Primary practice location

88 Sugar Maple Dr.
Wpafb, OH 45433

Mailing address

7012 Winter Hill CT
Dayton, OH 45459
Phone (954) 647-7442

National Provider Directory

National Provider Directory
Tax ID family
88TH Medgrp-Wright-Patterson3 organizations share this tax ID, including this one
Part of
88TH Medgrp-Wright-Patterson

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1124206594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7012 WINTER HILL CT",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45459",
            "telephone_number": "954-647-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 SUGAR MAPLE DR.",
            "city": "WPAFB",
            "state": "OH",
            "postal_code": "45433",
            "telephone_number": "937-257-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "88TH MEDGRP-WRIGHT-PATTERSON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WRIGHT-PATTERSON MEDICAL CENTER",
        "enumeration_date": "2008-02-07",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "WELTON",
        "authorized_official_first_name": "RANDON",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "937-257-1363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wpafb, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.