WRIGHT STATE PHYSICIANS INC (NPI# 1215178421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215178421 |
Entity Type | Organization |
Organization Name | WRIGHT STATE PHYSICIANS INC |
Other Organization Name | WRIGHT STATE PHYSICIANS VASCULAR SURGERY |
Practice Address |
2200 Philadelphia Dr Suite 400 Dayton OH 45406-1840 |
Mailing Address |
5100 Springfield St Suite 400 Dayton OH 45431-1261 |
Practice Telephone | 9372762642 |
Practice Fax Number | 9372764419 |
Mailing Telephone | 9372599900 |
Mailing Fax Number | 9372599999 |
Enumeration Date | 2009-03-18 |
Last Update Date | 2009-05-21 |
Authorized Official Name | MARGARET DUNN (PRESIDENT/ CEO) |
Authorized Official Telephone | 9372599900 |
Authorized Official Credential | MD |
Is Organization Subpart | Y |
Parent Organization Name | WRIGHT STATE PHYSICIANS INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PARENT LBN | 1114920329 | 01 | |
OH | 0914443 | 05 |
Other Name | Type Code |
---|---|
Wright State Physicians Vascular Surgery | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114920329 | Wright State Physicians Inc | Dermatology | 725 University Blvd, Dayton, OH 45435-0001 | 2005-05-23 |
1205197985 | Wright State Physicians Inc | Dermatology | 725 University Blvd, Dayton, OH 45435-0001 | 2012-05-30 |
1295977254 | Wright State Physicians Inc | Clinic/Center | 2200 Philadelphia Dr, Suite 651, Dayton, OH 45406-1840 | 2009-04-06 |
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 |
2200 PHILADELPHIA DR SUITE 400 |
City | DAYTON |
State | OH |
Zip Code | 45406-1840 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760487508 | Maria B Lim-kong | Specialist | 2200 Philadelphia Dr, Ste 101, Dayton, OH 45406-1830 | 2005-06-17 |
1194177477 | Lynn Warren | Nurse Practitioner | 2200 Philadelphia Dr, Suite 441, Dayton, OH 45406-1840 | 2016-07-11 |
1255797221 | Michelle Kristen Yeager | Registered Nurse | 2200 Philadelphia Dr, Dayton, OH 45406-1840 | 2016-01-06 |
1225474331 | Arthur Macneill Horton IIi | Family Medicine | 2200 Philadelphia Dr, Suite 441, Dayton, OH 45406 | 2013-05-15 |
1992056113 | Premier Health Specialists Inc | Internal Medicine | 2200 Philadelphia Dr, 3rd Fl, Dayton, OH 45406-1840 | 2012-09-27 |
1548524333 | Alma R Velayo | Internal Medicine | 2200 Philadelphia Dr, Suite 441, Dayton, OH 45406-1840 | 2012-06-27 |
1740547983 | Daniel Opris | Internal Medicine | 2200 Philadelphia Dr, Ste 441, Dayton, OH 45406-1840 | 2012-04-12 |
1821316787 | Milinda S Nimmo Zabramba | Family Medicine | 2200 Philadelphia Dr, Suite 441, Dayton, OH 45406 | 2010-05-17 |
1689991242 | Shannon Lingg | Dietitian, Registered | 2200 Philadelphia Dr, Suite 101, Dayton, OH 45406-1840 | 2010-04-22 |
1629392501 | Eshetu Obole | Internal Medicine | 2200 Philadelphia Dr, Suite 441, Dayton, OH 45406-1840 | 2010-03-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942786595 | Lawrence J Harper Jr. | Counselor | 1855 Kipling Dr, Dayton, OH 45406 | 2018-07-17 |
1114446937 | James Lee | Licensed Practical Nurse | 1687 Wesleyan Rd., Dayton, OH 45406 | 2017-09-13 |
1497280762 | Pam Taylor | Licensed Practical Nurse | 3339 Arlene Ave, Dayton, OH 45406 | 2017-04-25 |
1811428543 | Kimberly Hawkins | Licensed Practical Nurse | 3660 Pittsburg Ave, Dayton, OH 45406 | 2017-03-24 |
1760839187 | Micah Rejcek | Student in an Organized Health Care Education/Training Program | Five Rivers Family Health Center, 2261 Philadelphia Drive Suite 301, Dayton, OH 45406 | 2016-05-16 |
1134505233 | Julia Ahrns | Dietitian, Registered | 2261 Philadelphia Dr., Dayton, OH 45406 | 2015-07-31 |
1215314125 | Tracy Fong | Family Medicine | 2261 Philadelphia Drive, Dayton, OH 45406 | 2015-04-29 |
1518285337 | Johwanna Martin | Registered Nurse | 2055 Ravenwood Ave, Dayton, OH 45406 | 2010-05-05 |
1003051913 | Fawnette Thomas | Social Worker | 2116 University Place, Dayton, OH 45406 | 2008-12-05 |
1043478654 | Mvhe Inc | Hospitalist | 2661 Salem Ave Davue Building, Suite 220, Dayton, OH 45406 | 2008-05-30 |
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Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770591562 | John Henry Matsuura | Surgery | 2300 Miami Valley Dr Ste 350, Dayton, OH 45459-1294 | 2006-08-04 |
1174595748 | William Kennard Rundell | Surgery | 1520 S. Main Street, Suite 210, Dayton, OH 45409-2675 | 2006-02-07 |
1558361329 | Stephen Greer Do Inc | Surgery | 131 N Ludlow St, Suite 1125, Dayton, OH 45402-1116 | 2005-07-22 |
1104108406 | Alliance Physician Inc | Surgery | 1 Elizabeth Pl, Suite 10a-1, Dayton, OH 45417-3445 | 2011-09-13 |
1730358169 | J Scott Wilcher M.d. Inc | Surgery | 7111 N Main St, Ste 60, Dayton, OH 45415-2558 | 2008-02-29 |
1407032865 | Louisa Lucia Pecchioni | Surgery | One Elizabeth Place, Suite 10a, Dayton, OH 45417 | 2008-01-16 |
1558544270 | Julie Gilkeson | Surgery | 1 Elizabeth Pl, Suite 10a, Dayton, OH 45417 | 2007-12-17 |
1023135340 | Edward L. Erb, D.o. | Surgery | 5450 Far Hills Ave, Suite201, Dayton, OH 45429-2386 | 2007-03-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659993459 | Matt Thompson | Surgery | Department of Vascular Surgery 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2020-05-14 |
1194373704 | Premier Vein and Vascular Care LLC | Surgery | 33290 Bainbridge Rd, Solon, OH 44139-2802 | 2019-08-27 |
1588144299 | Garcia Vascular Surgery Center, LLC | Surgery | 29099 Health Campus Dr Ste 380, Westlake, OH 44145-5276 | 2018-08-21 |
1962900365 | Marilyn Mcnamara | Surgery | 1031 Brook Ln, Rocky River, OH 44116-2184 | 2018-01-31 |
1386155521 | Zanesville Vascular Vein & Wound Center LLC | Surgery | 3964 Frazeysburg Rd Unit A, Zanesville, OH 43701-8920 | 2017-10-16 |
1679026751 | Center for Vein Restoration Oh, LLC | Surgery | 1050 Isaac Streets Dr Ste 131, Oregon, OH 43616-8203 | 2016-07-26 |
1235541640 | Jon Garrett Quatromoni | Surgery | Mail Code F30 9500 Euclid Avenue, Cleveland, OH 44195-4238 | 2014-05-20 |
1881035343 | Innovative Wound Care Associates, Inc | Surgery | 790 Boardman Canfield Rd Ste 3, Boardman, OH 44512-4344 | 2013-07-12 |
1184062242 | Jorge Enrique Motta | Surgery | 12268 Church Rd, Orrville, OH 44667-9623 | 2013-06-11 |
1912245853 | Cleveland East Vascular Care, LLC | Surgery | 23650 Commerce Park Ste B, Beachwood, OH 44122-5817 | 2013-01-28 |
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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.