WRIGHT STATE PHYSICIANS INC (NPI# 1205197985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205197985 |
| Entity Type | Organization |
| Organization Name | WRIGHT STATE PHYSICIANS INC |
| Practice Address |
725 University Blvd Dayton OH 45435-0001 |
| Mailing Address |
725 University Blvd Fairborn OH 45324 |
| Practice Telephone | 9372457100 |
| Practice Fax Number | 9372457999 |
| Mailing Telephone | 9372457100 |
| Mailing Fax Number | 9372457999 |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2014-06-13 |
| Authorized Official Name | ALAN MARCO (PRESIDENT CEO) |
| Authorized Official Telephone | 9372457100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | WRIGHT STATE PHYSICIANS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 821388 | OH | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 821388 | OH | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 821388 | OH | Allopathic & Osteopathic Physicians |
| N | 207ZD0900X |
Pathology Specialization: Dermatopathology |
821388 | OH | Allopathic & Osteopathic Physicians |
| N | 208200000X | Plastic Surgery | 821388 | OH | Allopathic & Osteopathic Physicians |
| Y | 207X00000X | Orthopaedic Surgery | 821388 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0914443 | 05 | |
| OH | PARENT GROUP NPI | 1114920329 | 01 |
| OH | BUSINESS LICENSURE | 821388 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114920329 | Wright State Physicians Inc | Dermatology | 725 University Blvd, Dayton, OH 45435-0001 | 2005-05-23 |
| 1295977254 | Wright State Physicians Inc | Clinic/Center | 2200 Philadelphia Dr, Suite 651, Dayton, OH 45406-1840 | 2009-04-06 |
| 1215178421 | Wright State Physicians Inc | Surgery | 2200 Philadelphia Dr, Suite 400, Dayton, OH 45406-1840 | 2009-03-18 |
| 1306087515 | Wright State Physicians Inc | Surgery | 30 E Apple St, Suite 6257, Dayton, OH 45409-2939 | 2009-03-18 |
| 1427299841 | Wright State Physicians Inc | Surgery | 1222 S Patterson Blvd, Suite 220, Dayton, OH 45402-2684 | 2009-03-14 |
| 1649447582 | Wright State Physicians Inc | Clinic/Center | 2200 Philadelphia Dr, Suite 651, Dayton, OH 45406-1840 | 2008-05-09 |
| 1417133380 | Wright State Physicians Inc | Orthopaedic Surgery | 30 E Apple St, Ste 2200, Dayton, OH 45409-2939 | 2008-01-10 |
| Street Address |
725 UNIVERSITY BLVD |
| City | DAYTON |
| State | OH |
| Zip Code | 45435-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114920329 | Wright State Physicians Inc | Dermatology | 725 University Blvd, Dayton, OH 45435-0001 | 2005-05-23 |
| 1609405638 | Emily Albanese | Specialist/Technologist | 725 University Blvd, Dayton, OH 45435-0001 | 2020-04-02 |
| 1184128969 | Sally Jane Trout | Specialist/Technologist | 725 University Blvd, Dayton, OH 45435-0001 | 2018-03-19 |
| 1114383122 | Carlie Clark | Specialist/Technologist | 725 University Blvd, Dayton, OH 45435-0001 | 2016-01-06 |
| 1023481108 | Kelsey Scuderi | Nurse Practitioner | 725 University Blvd, Dayton, OH 45435-0001 | 2015-11-11 |
| 1700256096 | Wright State University | Specialist/Technologist | 725 University Blvd, Dayton, OH 45435-0001 | 2015-09-30 |
| 1336528256 | Kyra Dorney | Specialist/Technologist | 725 University Blvd, Dayton, OH 45435-0001 | 2015-05-26 |
| 1326473851 | Christen Michelle Richardson | Physician Assistant | 725 University Blvd, Dayton, OH 45435-2939 | 2013-09-03 |
| 1164869368 | Amber Elizabeth Smith | Physical Therapy Assistant | 725 University Blvd, Dayton, OH 45435-0001 | 2013-05-29 |
| 1154677631 | Wright Health Inc | Pharmacy | 725 University Blvd, 2nd Floor, Dayton, OH 45435-0001 | 2012-08-02 |
| Find all providers in the same location | ||||
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639410145 | David Francis Paul | Orthopaedic Surgery | 40 Farrington Way, Dayton, ME 04005-7647 | 2013-03-07 |
| 1871821371 | Jennifer Lynn Jerele | Orthopaedic Surgery | 30 E Apple St Ste 2200, Dayton, OH 45409-2939 | 2009-11-23 |
| 1760508022 | Brian Keith Hutchinson | Orthopaedic Surgery | 128 E Apple St Rm 2830, Dayton, OH 45409-2902 | 2007-03-21 |
| 1508967316 | Jonathan Joseph Paley | Orthopaedic Surgery | 5491 Far Hills Avenue, Dayton, OH 45429 | 2006-09-26 |
| 1235147422 | Henry Lee King | Orthopaedic Surgery | 5341 Dushore Dr, Dayton, OH 45427-2731 | 2006-08-03 |
| 1356312565 | Kenneth P Pohl | Orthopaedic Surgery | 5692 Far Hills Ave, Suite 4, Dayton, OH 45429-2239 | 2006-01-27 |
| 1942281308 | Thomas M Cook | Orthopaedic Surgery | 7980 N Main St., Dayton, OH 45415-2328 | 2005-11-10 |
| 1356346985 | Frank Peter Mannarino | Orthopaedic Surgery | 3205 Woodman Dr, Dayton, OH 45420-1143 | 2005-06-20 |
| 1376007906 | Dustin Young | Orthopaedic Surgery | 405 W Grand Ave, Dayton, OH 45405-7538 | 2019-01-28 |
| 1245694371 | Trenden L Flanigan | Orthopaedic Surgery | 30 E Apple St Ste 2200, Dayton, OH 45409-2939 | 2016-04-05 |
| Find all providers in DAYTON | ||||
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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.