Individual provider Active NPI

Jason David Wright, D.O.

  • Surgery Physician
  • Pasco, WA
National Provider Identifier
1942438841
Registry record updated Nov 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
OP60504027 Issued in WA
Practice address
5908 Bedford St Ste C
Pasco, WA 99301-6605
Phone
(509) 792-1404
Fax
(509) 792-1404
NPI assigned
Jun 30, 2009
Last updated
Nov 29, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X OP60504027 WA Primary

Addresses

Primary practice location

5908 Bedford St Ste C
Pasco, WA 99301-6605

Mailing address

5908 Bedford St Ste C
Pasco, WA 99301-6605
Phone (509) 792-1404

Other identifiers 2

IdentifierTypeStateIssuer
8806175-1204OtherUTPHYSICIAN LICENSE
OP60504027OtherWAPHYS LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160524000717 WA Practitioner - Osteopathic Manipulative Medicine 1850614215 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OP60504027WAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RCCH Trios Health LLC CurrentSince Dec 9, 2018 Accepting new patients

Locations

216 W 10th Ave
Ste 204
Kennewick, WA 99336
Phone (509) 221-5520

3730 Plaza Way
Kennewick, WA 99338
Phone (509) 221-6350

3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000

Interoperability endpoints

  • Direct secure messaging: jason.wright@486851367337988.direct.elationemr.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.

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1942438841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5908 BEDFORD ST STE C",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993016605",
            "telephone_number": "509-792-1404",
            "fax_number": "509-792-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5908 BEDFORD ST STE C",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993016605",
            "telephone_number": "509-792-1404",
            "fax_number": "509-792-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "JASON",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-30",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "OP60504027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "8806175-1204",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYS LICENSE",
            "identifier": "OP60504027",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasco, WA

Sources for this page

Verify at the official NPI Registry.