Active NPI
Alfred Morgan Wright, PATHOLOGY , AC
- Anatomic Pathology & Clinical Pathology Physician
- Spokane Valley, WA
National Provider Identifier
1528114162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- MD26134
- Practice address
- 13103 E Mansfield Ave
Incyte Pathology PS
Spokane Valley, WA 99216-1642 - Phone
- (509) 892-2700
- Fax
- (509) 892-2740
- NPI assigned
- Jan 26, 2007
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD26134 | WA | Primary |
Addresses
Primary practice location
13103 E Mansfield Ave
Incyte Pathology PS
Spokane Valley, WA 99216-1642
Mailing address
PO Box 3405
Incyte Pathology PS
Spokane, WA 99220-3405
Phone (509) 892-2700
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105838 | Medicaid | WA | |
| G319200704 | Other | WA | MDC PIN # |
| 9610346 | Medicaid | WA | |
| MD26134 | Other | WA | LICENCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD26134 | WA | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1528114162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3405",
"address_2": "INCYTE PATHOLOGY PS",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992203405",
"telephone_number": "509-892-2700",
"fax_number": "509-892-2740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13103 E MANSFIELD AVE",
"address_2": "INCYTE PATHOLOGY PS",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992161642",
"telephone_number": "509-892-2700",
"fax_number": "509-892-2740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "ALFRED",
"middle_name": "MORGAN",
"credential": "PATHOLOGY , AC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-26",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "WA",
"license": "MD26134",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105838",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDC PIN #",
"identifier": "G319200704",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9610346",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENCE",
"identifier": "MD26134",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.