Organization Active NPI

Wright State Physicians Inc

  • Plastic and Reconstructive Surgery Physician
  • Dayton, OH
National Provider Identifier
1306087515
Registry record updated May 21, 2009
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
30 E Apple St
Suite 6257
Dayton, OH 45409-2939
Phone
(937) 208-3999
Fax
(937) 208-3682
NPI assigned
Mar 18, 2009
Organization subpart
Yes
Parent organization
WRIGHT STATE PHYSICIANS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 21, 2009

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

Authorized official

Name
Margaret Dunn, MD
Title
President/Ceo
Phone
(937) 259-9900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0122X Primary

Addresses

Primary practice location

30 E Apple St
Suite 6257
Dayton, OH 45409-2939

Mailing address

5100 Springfield St
Suite 400
Dayton, OH 45431-1261
Phone (937) 259-9900

Other identifiers 2

IdentifierTypeStateIssuer
0914443MedicaidOH
1114920329OtherPARENT LBN

Other names 1

  • Wright State Physicians Plastic Surgery 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": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1306087515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 SPRINGFIELD ST",
            "address_2": "SUITE 400",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454311261",
            "telephone_number": "937-259-9900",
            "fax_number": "937-259-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E APPLE ST",
            "address_2": "SUITE 6257",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092939",
            "telephone_number": "937-208-3999",
            "fax_number": "937-208-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WRIGHT STATE PHYSICIANS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WRIGHT STATE PHYSICIANS INC",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "937-259-9900",
        "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
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0914443",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARENT LBN",
            "identifier": "1114920329",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wright State Physicians Plastic Surgery",
            "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 May 21, 2009; 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.