Rickey Wright MD LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

35058763 Issued in OH

Legal business name

RICKEY WRIGHT MD LLC

Practice address

1823 W State St
Fremont, OH 43420-1635

Phone

(419) 334-7737

Fax

(419) 334-2528

NPI assigned

Jul 24, 2007

Last updated

Jul 24, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rickey Wright, M.D.

Title

Owner

Phone

(419) 334-7737

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1215137567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 W STATE ST",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434201637",
            "telephone_number": "419-334-7737",
            "fax_number": "419-334-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 W STATE ST",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434201635",
            "telephone_number": "419-334-7737",
            "fax_number": "419-334-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICKEY WRIGHT MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "RICKEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-334-7737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "35058763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL OF OHIO",
            "identifier": "420846233-007",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000484130",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2051014",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "420846233-00",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristyn Nicole Reser, NP-C
• Jeffrey Rhoades
• James Randall Richard, MD
• Sandra K Richmond, COTA/L
• Rick Wiecek, MD Inc.
• Sara M Ridener, SLP
• Joseph Anthony Rieman, D.O.
• Brandon Michael Risner, CDCA
• Tanya Lynn Risner
• Jeremiah Risper

• General Practice Physician in Fremont, OH
• Providers in Fremont, OH by specialty
• General Practice Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.