Active NPI
Thomas F Wright, MD
- Phlebology Physician
- O'Fallon, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebology Physician
- License
- 108025
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050815000459 | MO | Practitioner - Internal Medicine | 1456381029 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108025 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corporate Surgical Arts LLC | Phlebology | Current | 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 | Past | 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.
-
- Phlebology Physician
- O'Fallon, MO
- NPI 1578280251
-
- Internal Medicine Physician
- Lake St Louis, MO
- NPI 1750351581
-
dba Lipedema Surgical Solutions
- Ambulatory Surgical Clinic/Center
- O'Fallon, MO
- NPI 1679113047
Phlebology
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Family Medicine
-
dba SSM Health St. Joseph Hospital - St. Charles Physician Billing
- Emergency Medicine Physician
- Saint Charles, MO
- NPI 1427002922
-
dba SSM Health St. Joseph Hospital - Lake Saint Louis Physician Billing
- Emergency Medical Services (Emergency Medicine) Physician
- Lake St Louis, MO
- NPI 1538113097
-
dba St. Joseph Warrenton Urgent Care
- Internal Medicine Physician
- Warrenton, MO
- NPI 1255385456
Family Medicine
-
- Emergency Medicine Physician
- Delray Beach, FL
- NPI 1073556767
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.