Active NPI
Milton Jacob Wright, D.O.
- Neuromusculoskeletal Medicine & OMM Physician
- Fairbanks, AK
National Provider Identifier
1790842805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- License
- 7932
- Practice address
- 1001 Noble St
Fairbanks, AK 99701-4922 - Phone
- (907) 456-3500
- Fax
- (907) 459-3588
- NPI assigned
- Jan 2, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 7932 | AK | Primary |
| Family Medicine Physician | 207Q00000X | 4166 | AZ | |
| Family Medicine Physician | 207Q00000X | 7932 | AK |
Addresses
Primary practice location
1001 Noble St
Fairbanks, AK 99701-4922
Mailing address
1001 Noble St
Fairbanks, AK 99701-4922
Phone (907) 459-3500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1604092 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
- 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
- Osteopathic Manipulative Medicine
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3745 Geist Rd
Fairbanks, AK 99709-3554
Phone (907) 456-3338
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McKinley Orthopedic and Sports Medicine, LLC | Current | Accepting new patients | |
| Milton Wright DO PLC | Past | Accepting new patients | |
| Ultimate Urgent Care Centers | Past | Accepting new patients |
Locations
3745 Geist Rd
Fairbanks, AK 99709
Phone (907) 456-1112
Interoperability endpoints
- mckinleyorthopedics.miltonwright@158245.advancedmd-direct.com
- milton.wright@foundationhealth.cernerdirect.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Fairbanks, AK
- NPI 1760938021
-
- Addiction Medicine (Family Medicine) Physician
- Phoenix, AZ
- NPI 1093978207
-
- Urgent Care Clinic/Center
- Peoria, AZ
- NPI 1356547798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1790842805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 NOBLE ST",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997014922",
"telephone_number": "907-459-3500",
"fax_number": "907-459-3588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 NOBLE ST",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997014922",
"telephone_number": "907-456-3500",
"fax_number": "907-459-3588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "MILTON",
"middle_name": "JACOB",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "AK",
"license": "7932",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "4166",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AK",
"license": "7932",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1604092",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.