WRIGHT STATE PHYSICIANS INC (NPI# 1114920329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114920329 |
| Entity Type | Organization |
| Organization Name | WRIGHT STATE PHYSICIANS INC |
| Other Organization Name | UNIVERISTY MEDICAL SERVICES ASSOC. INC |
| Practice Address |
725 University Blvd Dayton OH 45435-0001 |
| Mailing Address |
725 University Blvd Fairborn OH 45324-0000 |
| Practice Telephone | 9372457100 |
| Practice Fax Number | 9372457999 |
| Mailing Telephone | 9372457100 |
| Mailing Fax Number | 9372457999 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2019-12-03 |
| Authorized Official Name | KIMBERLY PAUL (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 9372457125 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
821388 | OH | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SURGERY DME SUBGROUP | 1316188147 | 01 | |
| ASC DME NPI | 1295977254 | 01 | |
| OH | BUSINESS LICENSE | 821388 | 01 |
| NSC SUITE 5253 | 0654700009 | 01 | |
| OH | 0914443 | 05 | |
| NCS SUBPART PLSTC SURG 6257 | 1306087515 | 01 | |
| MEDICARE PTAN ASC | 3610562 | 01 | |
| OH | MEDICARE DME PTAN | 10654700002 | 01 |
| ORTHO DME SUBGROUP | 1417133380 | 01 | |
| ASC SUBGROUP | 1649447582 | 01 | |
| OH | SUBPART NPI DME MOB | 1205197985 | 01 |
| NSC SUBPART VASC SURG | 1215178421 | 01 | |
| NCS SUBPARTSURG ONC | 1427299841 | 01 |
| Other Name | Type Code |
|---|---|
| Univeristy Medical Services Assoc. Inc | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
|---|---|---|---|---|
| 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 |
| 1205197985 | Wright State Physicians Inc | Dermatology | 725 University Blvd, Dayton, OH 45435-0001 | 2012-05-30 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629616891 | Nicole Elizabeth Miller | Family Medicine | 7282 Chateauroux Dr Apt A, Dayton, OH 45459-5382 | 2019-12-18 |
| 1770095382 | Nancy Louise Hall | Family Medicine | 1 Elizabeth Pl Ste 260, Dayton, OH 45417-3445 | 2017-11-05 |
| 1487181574 | Caitlyn Anne Frantz | Family Medicine | 6255 Chambersburg Rd Ste 2, Dayton, OH 45424 | 2017-05-19 |
| 1689054223 | Jessica Ezinne Ugwu | Family Medicine | 30 E Apple St., Suite Nw 3300, Dayton, OH 45409 | 2015-06-08 |
| 1215314125 | Tracy Fong | Family Medicine | 2261 Philadelphia Drive, Dayton, OH 45406 | 2015-04-29 |
| 1730519059 | Medstaffpc | Family Medicine | 119 1/2 Bryan St, Dayton, TX 77535-2661 | 2013-11-22 |
| 1962844480 | Claire Eleanore Cappel | Family Medicine | 4266 Upham Rd, Dayton, OH 45429-1620 | 2013-07-25 |
| 1851662092 | New Phoenix | Family Medicine | 11161 Ashbury Meadows Dr, Dayton, OH 45458-6403 | 2012-01-19 |
| 1700165081 | Torben Svendsen | Family Medicine | 7794 Rhea County Hwy Ste 102, Dayton, TN 37321-5981 | 2011-08-04 |
| 1104124221 | Kerri Lyn Gibson | Family Medicine | 4100 W 3rd St Bldg 340, Dayton, OH 45428-9000 | 2011-03-14 |
| 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.