Wright State Physicians Inc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

821388 Issued in OH

Legal business name

WRIGHT STATE PHYSICIANS INC

Practice address

725 University Blvd
Dayton, OH 45435-0001

Phone

(937) 245-7100

Fax

(937) 245-7999

NPI assigned

May 30, 2012

Organization subpart

Yes

Parent organization

WRIGHT STATE PHYSICIANSAs reported in NPPES

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

Authorized official

Name

Alan Marco, MD

Title

President Ceo

Phone

(937) 245-7100

Specialties & licenses 6

Addresses

Other identifiers 3

Tax ID family

University Medical SVCS2 organizations share this tax ID, including this one

Part of

University Medical SVCS

Other organizations with this tax ID 1

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

• Wright State Physicians

  • Obstetrics & Gynecology Physician
  • Dayton, OH
  • NPI 1619161403
  NPD tax ID

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/415/brand/1/csg/53/fhir/r4

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402617600000",
    "number": "1205197985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 UNIVERSITY BLVD",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "45324",
            "telephone_number": "937-245-7100",
            "fax_number": "937-245-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 UNIVERSITY BLVD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454350001",
            "telephone_number": "937-245-7100",
            "fax_number": "937-245-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WRIGHT STATE PHYSICIANS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WRIGHT STATE PHYSICIANS",
        "enumeration_date": "2012-05-30",
        "last_updated": "2014-06-13",
        "status": "A",
        "authorized_official_last_name": "MARCO",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "937-245-7100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "OH",
            "license": "821388",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "821388",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "821388",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "821388",
            "primary": true
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Dermatopathology",
            "state": "OH",
            "license": "821388",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "OH",
            "license": "821388",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARENT GROUP NPI",
            "identifier": "1114920329",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0914443",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSURE",
            "identifier": "821388",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn Wrenn, APRN, FNP-BC
• Wright Health Inc
• Wright State Physicians
• Wright State Physicians
• Wright State Physicians Inc
• Wright State Physicians Inc
• Wright State Physicians Inc
• Wright State Physicians Inc
• Wright State Physicians Inc
• Wright State Physicians Inc

• Orthopaedic Surgery Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Orthopaedic Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; 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.