Wright State University Dept of Emergency Medicine

Primary specialty

Military General Acute Care HospitalTaxonomy code 2865M2000X

License

MD40610 Issued in TN

Legal business name

WRIGHT STATE UNIVERSITY DEPT OF EMERGENCY MEDICINE

Practice address

3535 Southern Blvd
Kettering Medical Center
Kettering, OH 45429-1221

Phone

(937) 395-8839

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Cindy Lou Harris, MD

Title

Resident, Emergency Medicine

Phone

(937) 395-8839

Specialties & licenses 1

Addresses

Other names 1

• Kettering Medical Center Other name

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699846287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3881 FELICE CT",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322073",
            "telephone_number": "937-431-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 SOUTHERN BLVD",
            "address_2": "KETTERING MEDICAL CENTER",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454291221",
            "telephone_number": "937-395-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WRIGHT STATE UNIVERSITY DEPT OF EMERGENCY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "LOU",
        "authorized_official_title_or_position": "RESIDENT, EMERGENCY MEDICINE",
        "authorized_official_telephone_number": "937-395-8839",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2865M2000X",
            "taxonomy_group": "",
            "desc": "Military Hospital, Military General Acute Care Hospital",
            "state": "TN",
            "license": "MD40610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kettering Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rachel Wolthoff, RPH
• James Fredrick Woodgeard Jr., LPN
• Stacey Woods
• Jonathan Woody
• Rhonda Wootton, BSN
• Ariane Nachel Wright
• Magen Wright, SWT, LCCE, CLC
• Roger D Wright, PT
• Rebecca Louise Wydman, PCC-S
• Lucy Xayathone, CNP

• Military Hospital in Kettering, OH
• Providers in Kettering, OH by specialty
• Military Hospital in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.