Active NPI
Ethan Joseph Wright, M.D.
- Ophthalmology Physician
- Mountain Home, AR
National Provider Identifier
1659557171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- E5537
- Practice address
- 2943 Highway 62 W
Mountain Home, AR 72653-6535 - Phone
- (870) 424-4900
- NPI assigned
- Jan 15, 2008
- Last updated
- Aug 19, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | T2008-002 | AR | |
| Ophthalmology Physician | 207W00000X | E5537 | AR | Primary |
Addresses
Primary practice location
2943 Highway 62 W
Mountain Home, AR 72653-6535
Mailing address
PO Box 444
Mountain Home, AR 72654-0444
Phone (870) 701-5119
Other practice location 1
105 Sawgrass Pt
Harrison, AR 72601-3072
Phone (870) 424-4900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 168500001 | Medicaid | AR |
Other names 1
- Dr. Ethan Joseph Wright
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Missouri, Columbia School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2943 Hwy 62 W
Mountain Home, AR 72653-6535
Phone 8704244900337
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 239 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T2008-002 | AR | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kilgore Vision Center | Ophthalmology | Current | Accepting new patients |
| Christopher G Webb MD PA | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
105 Sawgrass Pt
Harrison, AR 72601
Phone (870) 741-1910
2943 Highway 62 W
Mountain Home, AR 72653
Phone (870) 424-3838
Interoperability endpoints
- ethan.wright.p1@direct.kilgorevisioncenter.nextgenshare.com
- ethan.wright.p2@direct.kilgorevisioncenter.nextgenshare.com
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.
-
- Specialist
- Mountain Home, AR
- NPI 1720264245
-
- Anatomic Pathology & Clinical Pathology Physician
- Mountain Home, AR
- NPI 1215534615
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba BRMC Professional Fees
- General Acute Care Hospital
- Mountain Home, AR
- NPI 1033147921
-
dba Baxter Health
- General Acute Care Hospital
- Mountain Home, AR
- NPI 1881788933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629331200000",
"number": "1659557171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 444",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726540444",
"telephone_number": "870-701-5119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2943 HIGHWAY 62 W",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726536535",
"telephone_number": "870-424-4900"
}
],
"practiceLocations": [
{
"address_1": "105 Sawgrass Pt",
"address_purpose": "LOCATION",
"city": "Harrison",
"state": "AR",
"postal_code": "726013072",
"country_code": "US",
"telephone_number": "870-424-4900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WRIGHT",
"first_name": "ETHAN",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-15",
"last_updated": "2021-08-19",
"certification_date": "2021-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "AR",
"license": "T2008-002",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "AR",
"license": "E5537",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "168500001",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ETHAN",
"last_name": "WRIGHT",
"middle_name": "JOSEPH",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Mountain Home, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.