Individual provider Active NPI

Thomas F Wright, MD

  • Phlebology Physician
  • O'Fallon, MO
National Provider Identifier
1417935974
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
License
108025 Issued in MO
Practice address
1630 Market Center Blvd Ste 201
O Fallon, MO 63368-8407
Phone
(636) 397-4012
Fax
(636) 278-1670
NPI assigned
Jan 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 108025 MO
Phlebology Physician 202K00000X 108025 MO Primary

Addresses

Primary practice location

1630 Market Center Blvd Ste 201
O Fallon, MO 63368-8407

Mailing address

1630 Market Center Blvd Ste 201
O Fallon, MO 63368-8407
Phone (636) 397-4012

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drwright@wrightvein.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050815000459 MO Practitioner - Internal Medicine 1456381029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
108025MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Corporate Surgical Arts LLC Phlebology CurrentSince Oct 30, 2022 Accepting new patients
Inphynet Contracting Services LLC Past Accepting new patients
SSM Health Care St. Louis Past Accepting new patients
SSM St. Joseph Hospital West Family Medicine Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients
SSM Health Care St. Louis Past Accepting new patients
Physician Groups LC Family Medicine Past Accepting new patients
Liposuction Solutions, LLC Phlebology PastSince Jan 19, 2020 Accepting new patients
Crestview Medical Associates, LLC Past Accepting new patients

Locations

1630 Market Center Blvd
Ste 203
O Fallon, MO 63368
Phone (636) 397-4012

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1417935974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 MARKET CENTER BLVD STE 201",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633688407",
            "telephone_number": "636-397-4012",
            "fax_number": "636-278-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 MARKET CENTER BLVD STE 201",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633688407",
            "telephone_number": "636-397-4012",
            "fax_number": "636-278-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "THOMAS",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "108025",
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "MO",
            "license": "108025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drwright@wrightvein.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1630 Market Center Blvd Ste 201",
            "city": "O Fallon",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633688407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in O'Fallon, MO

Sources for this page

Verify at the official NPI Registry.