Active NPI
Luther L. Wright Jr., M.D.,M.SC.,MT(ASCP)
- Internal Medicine Physician
- Colonial Heights, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101241279
- Practice address
- 524 Southpark Boulevard
Jencare Neighborhood Medical South Park, LLC
Colonial Heights, VA 23834 - Phone
- (804) 504-7980
- Fax
- (804) 504-7991
- NPI assigned
- Nov 13, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101241279 | VA | Primary |
Addresses
Primary practice location
524 Southpark Boulevard
Jencare Neighborhood Medical South Park, LLC
Colonial Heights, VA 23834
Mailing address
524 Southpark Boulevard
Jencare Neighborhood Medical South Park, LLC
Colonial Heights, VA 23834
Phone (804) 504-7980
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285705228 | Medicaid | VA | |
| 293417 | Other | VA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PMR Virginia Holding, LLC | Current | Accepting new patients | |
| Jencare Neighborhood Medical New Market, LLC | Internal Medicine | Current | Accepting new patients |
Locations
1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760
524 Southpark Blvd
Colonial Hgts, VA 23834
Phone (804) 504-7980
48 Newmarket Sq
Newport News, VA 23605
Phone (757) 825-8030
3806 Mechanicsville Tpke
Richmond, VA 23223
Phone (804) 228-1143
5516 Virginia Beach Blvd
Virginia Beach, VA 23462
Phone (757) 287-3699
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.
-
dba Jencare Senior Medical Centers of Virginia
- Specialist
- Miami Gardens, FL
- NPI 1083167001
VA
-
dba JenCare Neighborhood Medical New Market
- Internal Medicine Physician
- Newport News, VA
- NPI 1568756948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412640000000",
"number": "1285705228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "524 SOUTHPARK BOULEVARD",
"address_2": "JENCARE NEIGHBORHOOD MEDICAL SOUTH PARK, LLC",
"city": "COLONIAL HEIGHTS",
"state": "VA",
"postal_code": "23834",
"telephone_number": "804-504-7980",
"fax_number": "804-504-7991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "524 SOUTHPARK BOULEVARD",
"address_2": "JENCARE NEIGHBORHOOD MEDICAL SOUTH PARK, LLC",
"city": "COLONIAL HEIGHTS",
"state": "VA",
"postal_code": "23834",
"telephone_number": "804-504-7980",
"fax_number": "804-504-7991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "LUTHER",
"middle_name": "L.",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.,M.SC.,MT(ASCP)",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2014-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101241279",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1285705228",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "293417",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colonial Heights, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.