Active NPI
Creighton B Wright Sr., MD, MBA
- Surgery Physician
- Cincinnati, OH
National Provider Identifier
1275525560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 35046888W
- Practice address
- 3300 Mercy Health Blvd
5TH Floor
Cincinnati, OH 45211-1103 - Phone
- (513) 215-5030
- Fax
- (513) 215-5954
- NPI assigned
- Aug 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 21791 | KY | |
| Surgery Physician | 208600000X | 21791 | KY | |
| Vascular Surgery Physician | 2086S0129X | 21791 | KY | |
| Surgery Physician | 208600000X | 35046888W | OH | Primary |
| Vascular Surgery Physician | 2086S0129X | 35046888W | OH | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 35046888W | OH | |
| Specialist | 174400000X | 21791 | KY |
Addresses
Primary practice location
3300 Mercy Health Blvd
5TH Floor
Cincinnati, OH 45211-1103
Mailing address
3300 Mercy Health Blvd
5TH Floor
Cincinnati, OH 45211-1103
Phone (513) 215-5030
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000005036 | Other | ANTHEM | |
| 1820074 | Other | UNITEDHEALTHCARE | |
| 0473947 | Medicaid | OH | |
| 46888 | Other | CHOICE CARE/HUMANA | |
| 64217912 | Medicaid | KY | |
| 8330 | Other | KY BCBS | |
| 200058090B | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21791 | KY | MD | Vascular Surgery Physician |
| 35046888W | OH | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel Drake Center for Post-Acute Care, LLC | Surgery | Past | Accepting new patients |
| Cincinnati Health Care Group PSC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Long Term Care Hospital
- Cincinnati, OH
- NPI 1558355487
Surgery
-
- Ambulatory Surgical Clinic/Center
- Crestview Hills, KY
- NPI 1881616357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485734400000",
"number": "1275525560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 MERCY HEALTH BLVD",
"address_2": "5TH FLOOR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452111103",
"telephone_number": "513-215-5030",
"fax_number": "513-215-5954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 MERCY HEALTH BLVD",
"address_2": "5TH FLOOR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452111103",
"telephone_number": "513-215-5030",
"fax_number": "513-215-5954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "CREIGHTON",
"middle_name": "B",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "MD, MBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-22",
"last_updated": "2017-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "KY",
"license": "21791",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "KY",
"license": "21791",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "KY",
"license": "21791",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35046888W",
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "OH",
"license": "35046888W",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "OH",
"license": "35046888W",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "KY",
"license": "21791",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000005036",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE",
"identifier": "1820074",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0473947",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHOICE CARE/HUMANA",
"identifier": "46888",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64217912",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KY BCBS",
"identifier": "8330",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200058090B",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.