Individual provider Active NPI

William C. Wright, M.D.

  • Family Medicine Physician
  • Houston, MO
National Provider Identifier
1548217870
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2002022068 Issued in MO
Practice address
1333 S Sam Houston Blvd
Houston, MO 65483-2046
Phone
(417) 967-1252
Fax
(417) 967-0417
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2002022068 MO Primary

Addresses

Primary practice location

1333 S Sam Houston Blvd
Houston, MO 65483-2046

Mailing address

1333 S Sam Houston Blvd
Houston, MO 65483-2046
Phone (417) 967-1252

Other practice location 1

1337 S Sam Houston Blvd
Houston, MO 65483-2046
Phone (417) 967-5639

Other identifiers 8

IdentifierTypeStateIssuer
268535OtherMORH MEDICARE (GROUP)
597780303OtherMORH MEDICAID (GROUP)
26D1009687OtherMOCLIA #
503835001OtherMOMEDICAID (GROUP)
594000606OtherMORH MEDICAID (GROUP)
500144698OtherMOGROUP MEDICAID
205995608MedicaidMO
26-8526OtherMORH MEDICARE (GROUP)

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
I20090528000113 MO Practitioner - Family Practice 1951376029 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12732AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Texas County Memorial Hospital CurrentSince Jul 22, 2024 Accepting new patients
Texas County Memorial Hospital CurrentSince Jun 1, 2009 Accepting new patients
Texas County Memorial Hospital Family Medicine CurrentSince Jun 1, 2009 Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

1335 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-5639

1422 S Sam Houston Blvd
#C
Houston, MO 65483
Phone (417) 967-4445

1333 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-1252

1337 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-5435

1422 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-1252

1905 W 19th St
Mountain Grv, MO 65711
Phone (417) 926-1770

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1548217870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 S SAM HOUSTON BLVD",
            "city": "HOUSTON",
            "state": "MO",
            "postal_code": "654832046",
            "telephone_number": "417-967-1252",
            "fax_number": "417-967-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 S SAM HOUSTON BLVD",
            "city": "HOUSTON",
            "state": "MO",
            "postal_code": "654832046",
            "telephone_number": "417-967-1252",
            "fax_number": "417-967-0417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1337 S Sam Houston Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "MO",
            "postal_code": "654832046",
            "country_code": "US",
            "telephone_number": "417-967-5639",
            "fax_number": "417-967-5667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "WILLIAM",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2002022068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RH MEDICARE (GROUP)",
            "identifier": "268535",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RH MEDICAID (GROUP)",
            "identifier": "597780303",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA #",
            "identifier": "26D1009687",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID (GROUP)",
            "identifier": "503835001",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RH MEDICAID (GROUP)",
            "identifier": "594000606",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID",
            "identifier": "500144698",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205995608",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RH MEDICARE (GROUP)",
            "identifier": "26-8526",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, MO

Sources for this page

Verify at the official NPI Registry.