Organization Active NPI

Wright State Physicians Inc

Doing business as Wright State Physicians Orthopedics

  • Orthopaedic Surgery Physician
  • Dayton, OH
National Provider Identifier
1417133380
Registry record updated Jun 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
821388 Issued in OH
Legal business name
WRIGHT STATE PHYSICIANS INC
Doing business as
Wright State Physicians Orthopedics
Practice address
30 E Apple St
Ste 2200
Dayton, OH 45409-2939
Phone
(937) 208-2091
Fax
(937) 208-6141
NPI assigned
Jan 10, 2008
Organization subpart
Yes
Parent organization
WRIGHT STATE PHYSICIANS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 12, 2014

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

Authorized official

Name
Alan Marco, MD
Title
President/Ceo
Phone
(937) 245-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X 821388 OH Primary

Addresses

Primary practice location

30 E Apple St
Ste 2200
Dayton, OH 45409-2939

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
1114920329OtherPARENT COMPANY NPI
0914443MedicaidOH

Other names 1

  • Wright State Physicians Orthopedics Doing business as

National Provider Directory

National Provider Directory
Part of
University Medical SVCS

Locations

725 University Blvd
Dayton, OH 45435
Phone (937) 208-6700

NPI Registry JSON

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402531200000",
    "number": "1417133380",
    "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": "30 E APPLE ST",
            "address_2": "STE 2200",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092939",
            "telephone_number": "937-208-2091",
            "fax_number": "937-208-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WRIGHT STATE PHYSICIANS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WRIGHT STATE PHYSICIANS INC",
        "enumeration_date": "2008-01-10",
        "last_updated": "2014-06-12",
        "status": "A",
        "authorized_official_last_name": "MARCO",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "937-245-7100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "821388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARENT COMPANY NPI",
            "identifier": "1114920329",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0914443",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wright State Physicians Orthopedics",
            "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 Jun 12, 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.