Active NPI
Susan E Wright, RWCNP
- Nurse Practitioner
- Medina, OH
National Provider Identifier
1326024928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 06491
- Practice address
- 3780 Medina Rd
Suite 220
Medina, OH 44256-9311 - Phone
- (330) 723-6060
- Fax
- (330) 723-6462
- NPI assigned
- Dec 16, 2005
- Last updated
- Jun 1, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 06491 | OH | Primary |
Addresses
Primary practice location
3780 Medina Rd
Suite 220
Medina, OH 44256-9311
Mailing address
3780 Medina Rd
Suite 220
Medina, OH 44256-9311
Phone (330) 723-6060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2280044 | Medicaid | OH |
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
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06491 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patrick J. Naples, M.D., Inc. | Past | Accepting new patients | |
| Radiology Associates of Canton, Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Medina, OH
- NPI 1073591368
-
- Diagnostic Radiology Physician
- Canton, OH
- NPI 1912982034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306886400000",
"number": "1326024928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3780 MEDINA RD",
"address_2": "SUITE 220",
"city": "MEDINA",
"state": "OH",
"postal_code": "442569311",
"telephone_number": "330-723-6060",
"fax_number": "330-723-6462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3780 MEDINA RD",
"address_2": "SUITE 220",
"city": "MEDINA",
"state": "OH",
"postal_code": "442569311",
"telephone_number": "330-723-6060",
"fax_number": "330-723-6462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "SUSAN",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "RWCNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-16",
"last_updated": "2011-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "06491",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2280044",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Medina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.