NPIMap

Organization Active NPI

Wright State Physicians Inc

  • Ambulatory Surgical Clinic/Center
  • Dayton, OH
National Provider Identifier
1649447582
Registry record updated Dec 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
821388 Issued in OH
Legal business name
WRIGHT STATE PHYSICIANS INC
Practice address
2200 Philadelphia Dr
Suite 651
Dayton, OH 45406-1840
Phone
(937) 208-3999
NPI assigned
May 9, 2008
Last updated
Dec 19, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
WRIGHT STATE PHYSICIANS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 19, 2013

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

Authorized official

Name
Cheryl Savakinas
Title
Credentialing Coordinator
Phone
(937) 245-7150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 821388 OH Primary

Addresses

Primary practice location

2200 Philadelphia Dr
Suite 651
Dayton, OH 45406-1840

Mailing address

725 University Blvd
Dayton, OH 45435-0001
Phone (937) 245-7100

Other identifiers 4

IdentifierTypeStateIssuer
1114920329OtherPARENT NPI
WR9256604OtherPARENT LBN MEDICARE GROUP NUMBER
0914443MedicaidOH
1295977254OtherDME-SUBGROUP NPI

Other names 1

  • Univeristy Medical Services Association Former legal business name

National Provider Directory

National Provider Directory
Part of
University Medical Services

Practitioners & affiliated clinicians

Practitioners 130

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 130

NPI Registry JSON

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387411200000",
    "number": "1649447582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 UNIVERSITY BLVD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454350001",
            "telephone_number": "937-245-7100",
            "fax_number": "937-245-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PHILADELPHIA DR",
            "address_2": "SUITE 651",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454061840",
            "telephone_number": "937-208-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WRIGHT STATE PHYSICIANS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WRIGHT STATE PHYSICIANS INC",
        "enumeration_date": "2008-05-09",
        "last_updated": "2013-12-19",
        "status": "A",
        "authorized_official_last_name": "SAVAKINAS",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "937-245-7150"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "821388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARENT NPI",
            "identifier": "1114920329",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARENT LBN MEDICARE GROUP NUMBER",
            "identifier": "WR9256604",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0914443",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME-SUBGROUP NPI",
            "identifier": "1295977254",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Univeristy Medical Services Association",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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.