Individual provider Active NPI

Robert Charles Wright, MD FACS

  • Surgery Physician
  • Puyallup, WA
National Provider Identifier
1649346347
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD00025095 Issued in WA
Practice address
208 17TH Ave SE
Suite 201
Puyallup, WA 98372-4515
Phone
(253) 840-1999
Fax
(253) 445-4125
NPI assigned
Nov 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD00025095 WA Primary

Addresses

Primary practice location

208 17TH Ave SE
Suite 201
Puyallup, WA 98372-4515

Mailing address

208 17TH Ave SE
Suite 201
Puyallup, WA 98372-4515
Phone (253) 840-1999

Other identifiers 1

IdentifierTypeStateIssuer
1124650MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20070702000043 WA Practitioner - General Surgery 8325938368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Washington School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cascade Hernia and Surgical Solutions PSGroup PAC ID 3577663665, 3 clinicians

Practice addresses (Care Compare)

208 17TH Ave SE
Suite 201
Puyallup, WA 98372-4515
Phone (253) 840-1999

Hospital & facility affiliations

  • Multicare Good Samaritan Hospital Hospital, Puyallup, WA, CCN 500079
  • Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)39
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00025209WAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Hernia and Surgical Solutions PS Surgery CurrentSince Apr 1, 2007 Accepting new patients
Cascade Hernia and Surgical Solutions PS Surgery CurrentSince Apr 1, 2007 Accepting new patients

Locations

1703 S Meridian
Ste 304
Puyallup, WA 98371
Phone (253) 735-4760

208 17th Ave SE
#201
Puyallup, WA 98372
Phone (253) 840-1999

Interoperability endpoints

  • Direct secure messaging: rwrightmd3337@direct.multicare.org

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1649346347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 17TH AVE SE",
            "address_2": "SUITE 201",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983724515",
            "telephone_number": "253-840-1999",
            "fax_number": "253-445-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 17TH AVE SE",
            "address_2": "SUITE 201",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983724515",
            "telephone_number": "253-840-1999",
            "fax_number": "253-445-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "ROBERT",
        "middle_name": "CHARLES",
        "credential": "MD FACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00025095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124650",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

Verify at the official NPI Registry.