WRIGHT STATE UNIVERSITY (NPI# 1063815751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063815751 |
| Entity Type | Organization |
| Organization Name | WRIGHT STATE UNIVERSITY |
| Other Organization Name | WRIGHT STATE UNIVERSITY SPORTS MEDICINE |
| Practice Address |
3640 Colonel Glenn Hwy Dayton OH 45435-0001 |
| Practice Telephone | 9372457551 |
| Mailing Telephone | 9372457551 |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2014-10-08 |
| Authorized Official Name | JASON FRANKLIN (ASSISTANT AD) |
| Authorized Official Telephone | 9372457551 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Wright State University Sports Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821435595 | Wright State University | General Acute Care Hospital | 627 Edwin C. Moses Boulevard, Elizabeth Place, E. Medical Plaza, 1st Floor, Dayton, OH 45417 | 2013-06-04 |
| 1356560486 | Wright State University | Public Health or Welfare | 9 N. Edwin C. Moses Blvd., Dayton, OH 45402-6837 | 2007-04-25 |
| 1700256096 | Wright State University | Specialist/Technologist | 725 University Blvd, Dayton, OH 45435-0001 | 2015-09-30 |
| 1245597988 | Wright State University | Case Management | 6 S Patterson Blvd, Dayton, OH 45402-2111 | 2012-04-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WRIGHT STATE UNIVERSITY | 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 |
| Street Address |
3640 COLONEL GLENN HWY |
| City | DAYTON |
| State | OH |
| Zip Code | 45435-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679574586 | Micky M Sharma | Psychologist | 3640 Colonel Glenn Hwy, Fawc, Dayton, OH 45435-0001 | 2005-08-02 |
| 1619576246 | Kayla Blanton | Home Health | 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 | 2020-10-24 |
| 1033718432 | Lily Taplin | Student in an Organized Health Care Education/Training Program | 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 | 2020-10-19 |
| 1326655259 | Katelyn Brown | Student in an Organized Health Care Education/Training Program | 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 | 2020-09-24 |
| 1568078145 | Madeline Grace Skultety | Student in an Organized Health Care Education/Training Program | 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 | 2020-09-19 |
| 1003422817 | Marguerite Mcdonnell | Student in an Organized Health Care Education/Training Program | 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 | 2020-09-17 |
| 1295340412 | Jonah Buczewski | Student in an Organized Health Care Education/Training Program | 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 | 2020-09-14 |
| 1861007551 | Lilliona Rogers | Student in an Organized Health Care Education/Training Program | 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 | 2020-09-10 |
| 1013522606 | Timea Tozser | Student in an Organized Health Care Education/Training Program | 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 | 2020-09-10 |
| 1194330035 | Robert Nathan Ilagan | Psychologist | 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 | 2020-09-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538706940 | Anthony Kelemen | Student in an Organized Health Care Education/Training Program | Sopp At Wright State University, 117 Health Sci Bldg, 3640 Colonel Glenn Hwy, Dayton, OH 45435 | 2019-12-04 |
| 1801444955 | Ashley Elizabeth Murphy | Student in an Organized Health Care Education/Training Program | Wsu School of Professional Psychology, 3640 Colonel Glenn Hwy, 117 Health Sciences Bldg, Dayton, OH 45435 | 2019-09-02 |
| 1659854370 | Rachel Heckaman | Student in an Organized Health Care Education/Training Program | Sopp Wright State Univerity 117 Health Science Bldg., 3640 Colonel Glenn Hwy, Dayton, OH 45435 | 2018-09-09 |
| 1508374547 | Somer Leanne Yoho | Student in an Organized Health Care Education/Training Program | 117 Health Sciences Building, 3640 Colonel Glenn Hwy, Dayton, OH 45435 | 2018-01-11 |
| 1689180622 | Jerie Johanna Bolin | Student in an Organized Health Care Education/Training Program | 117 Health Sciences Bldg, 3640 Colonel Glenn Hwy, Dayton, OH 45435 | 2017-12-28 |
| 1578079810 | Heather Ann Felerski | Student in an Organized Health Care Education/Training Program | 117 Health Sciences Bldg., 3640 Colonel Glenn Hwy., Dayton, OH 45435 | 2017-12-22 |
| 1154771392 | Abigail Ngayan | Counselor | 3640 Colonel Glenn Hwy., 053 Student Union, Dayton, OH 45435 | 2016-06-19 |
| 1144512799 | Adam Horseman | Specialist/Technologist | 3640 Col. Glenn Hwy., Room 356 Nutter Center, Dayton, OH 45435 | 2011-05-13 |
| 1790999589 | Luis Tony Ortiz | Specialist/Technologist | 3640 Colonel Glen Hwy, Room 303 Nutter Center, Dayton, OH 45435 | 2007-05-10 |
| 1164037446 | Jaden D Johnson | Student in an Organized Health Care Education/Training Program | 3640 Colonel Glenn Hwy., 117 Health Sciences Bldg, Dayton, OH 45435 | 2020-09-13 |
| Find all providers in zip 45435 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043597404 | Molly A Tatum | Orthopaedic Surgery | 3205 Woodman Dr, Dayton, OH 45420-1143 | 2011-11-12 |
| 1851423545 | Dayton Orthopaedic Surgery & Sports Medicine Center | Orthopaedic Surgery | 5491 Far Hills Ave, Dayton, OH 45429-2325 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104442516 | Beacon Orthopaedics & Sports Medicine, Ltd | Orthopaedic Surgery | 100 Arrow Springs Blvd Ste 2600, Lebanon, OH 45036-7021 | 2020-06-22 |
| 1790281517 | Mercy Health Physicians Cincinnati LLC | Orthopaedic Surgery | 6770 Cincinnati Dayton Rd Ste 110, Liberty Township, OH 45044-9319 | 2018-04-02 |
| 1952817413 | Caitlin Elisabeth Lefevre | Orthopaedic Surgery | 1000 Regency Ct Ste 212, Toledo, OH 43623-3091 | 2017-12-20 |
| 1255740197 | Orthocincy | Orthopaedic Surgery | 440 Corwin Nixon Blvd, South Lebanon, OH 45065-1196 | 2014-08-05 |
| 1427465517 | Anthony Stephen Berdis | Orthopaedic Surgery | 1695 Niles Cortland Road Ne Ste 2, Warren, OH 44484 | 2014-07-21 |
| 1831525500 | Mccullough-hyde Memorial Hospital, Inc. | Orthopaedic Surgery | 5151 Morning Sun Rd Ste A, Pinnacle Orthopaedics & Sports Medicine, Oxford, OH 45056-9546 | 2013-09-25 |
| 1699020206 | Benjamin D. Richman | Orthopaedic Surgery | 245 Meadowood Ln, Moreland Hills, OH 44022-1342 | 2012-07-19 |
| 1083945638 | Orthocincy | Orthopaedic Surgery | 7626 University Dr, Suite 102, West Chester, OH 45069-2509 | 2010-01-21 |
| 1669602140 | David Alan Brys | Orthopaedic Surgery | 2785 Timbercreek Dr N, Cortland, OH 44410 | 2009-07-20 |
| 1730314238 | Ian Sterling Rice | Orthopaedic Surgery | 4030 Smith Rd Ste 350, Cincinnati, OH 45209-1969 | 2009-05-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.