Organization Active NPI

Wright State Physicians Inc

  • Plastic and Reconstructive Surgery Physician
  • Dayton, OH
National Provider Identifier
1295977254
Registry record updated Jan 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
WRIGHT STATE PHYSICIANS INC
Practice address
2200 Philadelphia Dr
Suite 651
Dayton, OH 45406-1840
Phone
(937) 208-3999
Fax
(937) 208-6154
NPI assigned
Apr 6, 2009
Organization subpart
Yes
Parent organization
WRIGHT STATE PHYSICIANS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 2, 2014

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

Authorized official

Name
Margaret Dunn, MD
Title
Ceo/President
Phone
(937) 245-7100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0122X Primary
Ambulatory Surgical Clinic/Center 261QA1903X

Addresses

Primary practice location

2200 Philadelphia Dr
Suite 651
Dayton, OH 45406-1840

Mailing address

725 University Blvd
Dayton, OH 45435-0001
Phone (937) 245-7100

Other identifiers 2

IdentifierTypeStateIssuer
0914443MedicaidOH
1649447582OtherASC/FACILITY SUB PART NPI

Other names 1

  • Wright State Physicians Plastic Surgery Center Doing business as

National Provider Directory

National Provider Directory
Part of
University Medical SVCS

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388620800000",
    "number": "1295977254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PHILADELPHIA DR",
            "address_2": "SUITE 651",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454061840",
            "telephone_number": "937-208-3999",
            "fax_number": "937-208-6154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WRIGHT STATE PHYSICIANS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WRIGHT STATE PHYSICIANS INC",
        "enumeration_date": "2009-04-06",
        "last_updated": "2014-01-02",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "937-245-7100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0914443",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASC/FACILITY SUB PART NPI",
            "identifier": "1649447582",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wright State Physicians Plastic Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.