Organization Active NPI

Wright Medical Group Inc

  • Family Medicine Physician
  • Port Charlotte, FL
National Provider Identifier
1497058887
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME80723 Issued in FL
Legal business name
WRIGHT MEDICAL GROUP INC
Practice address
4055 Tamiami TRL
Ste 23
Port Charlotte, FL 33952-9212
Phone
(941) 457-0071
Fax
(941) 624-6193
NPI assigned
Dec 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Authorized official

Name
Laura Cox, MD
Title
MD/Owner
Phone
(941) 457-0071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME80723 FL Primary

Addresses

Primary practice location

4055 Tamiami TRL
Ste 23
Port Charlotte, FL 33952-9212

Mailing address

4055 Tamiami TRL
Ste 23
Port Charlotte, FL 33952-9212
Phone (941) 457-0071

Other identifiers 1

IdentifierTypeStateIssuer
ME80723OtherFLSTATE LICENSE NUMBER

National Provider Directory

National Provider Directory

Locations

4055 Tamiami Trl
Ste 15
Port Charlotte, FL 33952

4055 Tamiami Trl
Ste 1
Port Charlotte, FL 33952

4055 Tamiami Trl
Ste 23
Pt Charlotte, FL 33952
Phone (941) 457-0071

520 Rio de Janeiro Ave
Punta Gorda, FL 33983
Phone (941) 457-0071

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1497058887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 TAMIAMI TRL",
            "address_2": "STE 23",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529212",
            "telephone_number": "941-457-0071",
            "fax_number": "941-624-6193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 TAMIAMI TRL",
            "address_2": "STE 23",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529212",
            "telephone_number": "941-457-0071",
            "fax_number": "941-624-6193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WRIGHT MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "941-457-0071",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME80723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE  LICENSE NUMBER",
            "identifier": "ME80723",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; 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.