SEAN NICHOLAS WRIGHT (NPI# 1487269080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487269080 |
| Entity Type | Individual |
| Full Name | SEAN NICHOLAS WRIGHT |
| Credential | PA-C |
| Practice Address |
630 E 1400 N Ste 150 Logan UT 84341-2549 |
| Mailing Address |
740 S Woodruff Ave Idaho Falls ID 83401-5285 |
| Practice Telephone | 4359154465 |
| Practice Fax Number | 4357993664 |
| Mailing Telephone | 2085429111 |
| Mailing Fax Number | 2085429114 |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
11797322-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | STATE | 11797322-1206 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1201 S Main St Ste 110, Logan, UT 843218504 | 4357878504 | |
| 700 S Highway 91, Richmond, UT 843331209 | 4352943215 | 4357878509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477032266 | Sean Arthur Wright | Counselor | 908 5th Ave Se, Olympia, WA 98501-1507 | 2018-08-13 |
| 1013289560 | Sean Wright | Counselor | 210 W Sprague Ave, Spokane, WA 99201-3627 | 2012-01-30 |
| 1538378450 | Sean Kyle Wright | Chiropractor | 3432 Hillcrest Ave, Ste 200, Antioch, CA 94531-6301 | 2007-05-21 |
| 1043244320 | Sean Anthony Wright | Plastic Surgery | 1098 W Baltimore Pike, Suite 3306, Media, PA 19063-5139 | 2006-07-10 |
| Street Address |
630 E 1400 N STE 150 |
| City | LOGAN |
| State | UT |
| Zip Code | 84341-2549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598866691 | Devon E. Dahlke | Emergency Medicine | 630 E 1400 N Ste 150, Logan, UT 84341-2549 | 2006-09-25 |
| 1629679048 | Shawn Robert Israelsen | Social Worker | 630 E 1400 N Ste 150, Logan, UT 84341-2549 | 2020-11-03 |
| 1639713589 | Sterling Provider Group | Clinic/Center | 630 E 1400 N Ste 150, Logan, UT 84341-2549 | 2019-11-04 |
| 1134697477 | Adam Garfield | Physician Assistant | 630 E 1400 N Ste 150, Logan, UT 84341-2549 | 2018-11-05 |
| 1265807614 | Sterling Medical LLC | Clinic/Center | 630 E 1400 N Ste 150, Logan, UT 84341-2534 | 2015-12-10 |
| 1316329220 | Jacob Douglas Anderson | Clinic/Center | 630 E 1400 N Ste 150, Logan, UT 84341-2549 | 2015-06-26 |
| 1134567282 | Tod Michael Morrison | Nurse Practitioner | 630 E 1400 N Ste 150, Logan, UT 84341-2549 | 2013-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701529 | Aubrey Salmond | Registered Nurse | 500 East 1500 N, Logan, UT 84341 | 2019-10-11 |
| 1043702046 | Eye Pros of Logan LLC | Optometrist | 1475 N Main St Ste 103, Logan, UT 84341 | 2018-06-05 |
| 1275050452 | Rylie Jeanne Cook | Student in an Organized Health Care Education/Training Program | 11 Aggie Village Apt. J, Logan, UT 84341 | 2017-08-28 |
| 1093262156 | Jessica Lynn Mcgarry | Social Worker | 1040 N 130 W, Apt 100, Logan, UT 84341 | 2016-09-07 |
| 1740663566 | Paul R Gregory | Occupational Therapy Assistant | 1300 N 500 E Suite 120, Suite 120, Logan, UT 84341 | 2015-06-30 |
| 1851708846 | Bradley Budge | Optometrist | 535 E 1400 N Ste 130, Logan, UT 84341 | 2014-07-22 |
| 1386058709 | Daniel Raymond Carlson | Physician Assistant | 500 E. 1400 N., Logan, UT 84341 | 2014-06-13 |
| 1902220239 | Work Injury Solutions Inc. | Clinic/Center | 630 E 1400 N Ste 140, Logan, UT 84341 | 2014-02-06 |
| 1750627287 | Lee Martin Williams Sr. | Counselor | 186 E. 1800 N., North Logan, UT 84341 | 2013-01-03 |
| 1669747804 | Ronald J Payne | Internal Medicine | 1726 North 1850 East, North Logan, UT 84341 | 2012-03-21 |
| Find all providers in zip 84341 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245377811 | Heather Kaye Robinson | Physician Assistant | 313 Hudgins St., Suite 200, Logan, WV 25601 | 2007-01-31 |
| 1770034761 | Bradley Curtis Bybee | Physician Assistant | 500 E 1400 N, Logan, UT 84341 | 2016-10-14 |
| 1295187938 | Caitlyn Rose Jennings | Physician Assistant | 630 E 1400 N Ste 135, Logan, UT 84341-2549 | 2016-07-06 |
| 1881969475 | Rafael Modesto Rodighiero | Physician Assistant | 122 Nick Savas Dr, Logan, WV 25601-3468 | 2012-03-14 |
| 1386946838 | Brandon D Durfee | Physician Assistant | 1400 N 500 E, Logan, UT 84341-2455 | 2010-12-02 |
| 1447400734 | Elm Emergency Group Pllc | Physician Assistant | 20 Hospital Dr, Logan, WV 25601-3452 | 2008-09-24 |
| 1881876860 | Brent Pitcher | Physician Assistant | 1350 N 500 E, Logan, UT 84341-2400 | 2007-11-30 |
| 1285756825 | Marc Lawson | Physician Assistant | 1400 N 500 E, Logan, UT 84341-2455 | 2007-04-04 |
| 1699826149 | Kenneth Alan Wade | Physician Assistant | 1325 N 600 E, Suite 102, Logan, UT 84341-6738 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748080 | Shannon Dhungel | Physician Assistant | 82 S 1100 E Ste 402, Salt Lake City, UT 84102-1892 | 2020-04-10 |
| 1437702875 | Jennica Marie Van Blerkom | Physician Assistant | 4755 S Wallace Ln, Holladay, UT 84117-6458 | 2019-07-23 |
| 1124599873 | Tcfh Lc | Physician Assistant | 9777 N 5520 W, Highland, UT 84003-9130 | 2018-12-06 |
| 1528533825 | Ryan Mclean Walsh | Physician Assistant | 1454 University Vlg, Salt Lake City, UT 84108-3518 | 2018-10-12 |
| 1033627351 | Linda Richards Lewis | Physician Assistant | 30 N. 1900 E, Som 5r218, Salt Lake City, UT 84132-0002 | 2018-01-22 |
| 1215446919 | Richard L Mittan | Physician Assistant | 65 E 6850 S, Midvale, UT 84047-1215 | 2017-09-25 |
| 1710416649 | Brian Adams | Physician Assistant | 1308 E 900 S # C, St George, UT 84790-8520 | 2017-06-05 |
| 1972036242 | Jace Meng | Physician Assistant | 30 N 1900 E Rm 5r218, Salt Lake City, UT 84132-0002 | 2017-04-04 |
| 1396289799 | Jefferson M Allen | Physician Assistant | 356 W 840 S, Orem, UT 84058-6778 | 2016-12-05 |
| 1609324151 | Colby Bliss | Physician Assistant | 826 N Paiute Way, Richfield, UT 84701-1849 | 2016-09-13 |
| Find all providers with the same taxonomy | ||||
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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.