Active NPI
Timothy Robert Wright, MD
- Emergency Medicine Physician
- Glendale, AZ
National Provider Identifier
1366408650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 17772
- Practice address
- 18701 N 67TH Ave
Glendale, AZ 85308 - Phone
- (623) 561-7222
- NPI assigned
- Apr 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 17772 | AZ | Primary |
Addresses
Primary practice location
18701 N 67TH Ave
Glendale, AZ 85308
Mailing address
PO Box 10002
Glendale, AZ 85318-0002
Phone (623) 561-7222
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3981220 | Other | AZ | EVERCARE GRP |
| AZ0728670 | Other | AZ | BLUE CROSS BLUE SHIELD GR |
| 097990 | Medicaid | AZ | |
| AW1436 | Other | AZ | HEALTHNET GRP |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17772 | AZ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians Professional Association LTD | Emergency Medicine | Past | Accepting new patients |
| Emergency Physician Professional Association, LTD. | Emergency Medicine | 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.
-
- Emergency Medicine Physician
- Glendale, AZ
- NPI 1396769972
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1114931490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197504000000",
"number": "1366408650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10002",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853180002",
"telephone_number": "623-561-7222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18701 N 67TH AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "85308",
"telephone_number": "623-561-7222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "TIMOTHY",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-25",
"last_updated": "2007-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "17772",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE GRP",
"identifier": "3981220",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD GR",
"identifier": "AZ0728670",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "097990",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET GRP",
"identifier": "AW1436",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.