Active NPI
Wright State Physicians Inc
Doing business as Wright State Physicians Orthopedics
- Orthopaedic Surgery Physician
- Dayton, OH
National Provider Identifier
1417133380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 821388
- 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 INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114920329 | Other | PARENT COMPANY NPI | |
| 0914443 | Medicaid | OH |
Other names 1
- Wright State Physicians Orthopedics
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
- Wright State Physicians Inc
- Wright State Physicians Inc
- Wright State Physicians Inc (Wright State Physicians Vascular Surgery)
- Wright State Physicians Inc (Wright State Physicians Plastic Surgery Center)
- Wright State Physicians Inc (Wright State Physicians Plastic Surgery)
- Wright State Physicians Inc (Wright State Physicians Surgery Oncology)
- Wright State Physicians Inc
- Wright State University (Wright State University Sports Medicine)
- Wright State University (Consumer Advocacy Model)
- Wright State University
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.