NPIMap

Individual provider Active NPI

Douglas A Wright, DO

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Show Low, AZ
National Provider Identifier
1659358059
Registry record updated Feb 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X
License
3575 Issued in AZ
Practice address
2200 E Show Low Lake Rd
Show Low, AZ 85901-7881
Phone
(928) 537-4375
NPI assigned
Dec 27, 2005
Last updated
Feb 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician 207PE0005X 3575 AZ Primary

Addresses

Primary practice location

2200 E Show Low Lake Rd
Show Low, AZ 85901-7881

Mailing address

PO Box 52549
Phoenix, AZ 85072-2549
Phone (928) 535-6667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101222000955 AZ Practitioner - Family PracticePractitioner - Emergency MedicinePractitioner - Other (Physician) 8325162860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Healthcare AssociationGroup PAC ID 3779568647, 78 clinicians

Practice addresses (Care Compare)

2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Phone (928) 537-4375

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1178
Removal of nail tissue20
Removal or shaving of skin growth44
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Healthcare Association Undersea and Hyperbaric Medicine CurrentSince Jun 1, 2014 Accepting new patients

Locations

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

Interoperability endpoints

  • Direct secure messaging: douglaswright@shrmcshma.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Summit Healthcare Regional Medical CenterShow Low, AZ, CCN 030062 Hospital Corporate Director Feb 6, 2015
Summit Healthcare Regional Medical CenterShow Low, AZ, CCN 03S062 Hospital Corporate Director Dec 1, 2019
Summit Healthcare AssociationShow Low, AZ, CCN 037027 Home health agency Corporate Director May 1, 2010
Summit Healthcare Family Medicine at Bison RanchOvergaard, AZ, CCN 033840 Rural health clinic Corporate Director Feb 6, 2015
Summit Healthcare Family Medicine St JohnsSaint Johns, AZ, CCN 033854 Rural health clinic Corporate Director Feb 6, 2015
Summit Healthcare Snowflake Medical CenterSnowflake, AZ, CCN 033853 Rural health clinic Corporate Director Feb 6, 2015
Summit Healthcare Family Medicine Snowflake TaylorSnowflake, AZ, CCN 033852 Rural health clinic Corporate Director Feb 6, 2015

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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.

Hospital & facility affiliations 5

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": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1659358059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52549",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850722549",
            "telephone_number": "928-535-6667",
            "fax_number": "928-535-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E SHOW LOW LAKE RD",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017881",
            "telephone_number": "928-537-4375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "DOUGLAS",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "AZ",
            "license": "3575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Show Low, AZ

Sources for this page

Verify at the official NPI Registry.