Active NPI
Sanford J Wright Jr., MD
- Neurological Surgery Physician
- Everett, WA
National Provider Identifier
1720053564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- MD00017428
- Practice address
- 3726 Broadway Ste 201
Everett, WA 98201-3788 - Phone
- (425) 317-9119
- Fax
- (425) 317-9118
- NPI assigned
- Feb 22, 2006
- 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | MD00017428 | WA | Primary |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | MD00017428 | WA |
Addresses
Primary practice location
3726 Broadway Ste 201
Everett, WA 98201-3788
Mailing address
3726 Broadway
Ste 201
Everett, WA 98201-3788
Phone (425) 317-9119
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619808 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | swright122059@wm.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00017428 | WA | MD | Orthopaedic Surgery of the Spine Physician |
Interoperability endpoints
- swright122059@wm.providencedirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619740800000",
"number": "1720053564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3726 BROADWAY",
"address_2": "STE 201",
"city": "EVERETT",
"state": "WA",
"postal_code": "982013788",
"telephone_number": "425-317-9119",
"fax_number": "425-317-9118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3726 BROADWAY STE 201",
"city": "EVERETT",
"state": "WA",
"postal_code": "982013788",
"telephone_number": "425-317-9119",
"fax_number": "425-317-9118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "SANFORD",
"middle_name": "J",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2021-04-30",
"certification_date": "2021-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "WA",
"license": "MD00017428",
"primary": true
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "WA",
"license": "MD00017428",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1619808",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "swright122059@wm.providencedirect.org",
"affiliation": "N",
"address_1": "1717 13th St Ste 401",
"city": "Everett",
"state": "WA",
"country_code": "US",
"postal_code": "982011621",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.