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WRIGHT STATE PHYSICIANS INC NPI 1306087515


NPI Information

NPI: 1306087515
Provider Name: WRIGHT STATE PHYSICIANS INC

Doing Business As: WRIGHT STATE PHYSICIANS PLASTIC SURGERY

Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

CLIA Number: 36D1055612

Address:
30 E APPLE ST
SUITE 6257
DAYTON, OH
ZIP 45409
Phone: (937) 208-3999
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WRIGHT STATE PHYSICIANS INC is a plastic and reconstructive surgery surgery in Dayton, OH. The provider is a surgeon who specializes in plastic and reconstructive surgery. WRIGHT STATE PHYSICIANS INC NPI is 1306087515. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wright State Physicians Plastic Surgery.

The provider's business location address is:

30 E APPLE ST
SUITE 6257
DAYTON, OH
ZIP 45409-939
Phone: (937) 208-3999
Fax: (937) 208-3682

The provider's authorized official is Margaret Dunn .
The authorized official title is President/ceo and has the following contact phone number (937) 259-9900.

The CLIA number assigned to this NPI record is 36D1055612 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/18/2009 and was last updated on 5/21/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0122XSurgeryPlastic and Reconstructive SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19256604MEDICARE PIN
21114920329OTHERPARENT LBN
30914443MEDICAIDOHIO
40654700008MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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