DR. MARK PHILLIP WRIGHT (NPI# 1558576041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558576041 |
| Entity Type | Individual |
| Full Name | DR. MARK PHILLIP WRIGHT |
| Credential | M.D. |
| Practice Address |
2115 S Fremont Ave Ste 5000 Springfield MO 65804 |
| Mailing Address |
2115 S Fremont Ave Ste 5000 Springfield MO 65804-2230 |
| Practice Telephone | 4178203960 |
| Mailing Telephone | 4178203960 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2018-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | E-6234 | AR | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
2017033725 | MO | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
E-6234 | AR | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 194914001 | 05 | |
| AR | BCBS | 5I144 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124658075 | Mark Anthony Wright | Specialist/Technologist | 2301 Torrington Ln, Charlotte, NC 28262-3175 | 2020-01-20 |
| 1285878975 | Mark Denton Wright | Specialist/Technologist, Other | 8744 Creede Trl, Fort Worth, TX 76118-7813 | 2009-04-24 |
| 1548386857 | Mark Wright | Optometrist | 703 W Coshocton St, Johnstown, OH 43031-9581 | 2007-03-21 |
| 1275699035 | Mark G. Wright | Physical Therapist | 700 E Calaveras Blvd, Milpitas, CA 95035-5439 | 2006-12-28 |
| 1295830735 | Mark Harold Wright | Dentist | 930 N Cedar St, Colorado Springs, CO 80903-2720 | 2006-09-13 |
| 1811925324 | Mark Wright | Internal Medicine | 3316 Circlewood Ct, Grapevine, TX 76051-6520 | 2006-06-30 |
| 1386696748 | Mark T Wright | Psychiatry & Neurology | 912 S. Wood St. (mc913), Uic Department of Psychiatry, Chicago, IL 60612 | 2006-05-16 |
| 1164059622 | Mark Thorup Wright | Student in an Organized Health Care Education/Training Program | 4351 E Lohman Ave Ste 300, Las Cruces, NM 88011-8262 | 2020-03-25 |
| 1497316319 | Mark Wright | Technician/Technologist | 32100 Telegraph Rd Ste 205, Bingham Farms, MI 48025-2454 | 2019-06-21 |
| 1568733137 | Mark Todd Wright | Nurse Anesthetist, Certified Registered | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2012-01-13 |
| Street Address |
2115 S FREMONT AVE STE 5000 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679531453 | Bruce Jones | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2115 S Fremont Ave Ste 5000, Springfield, MO 65804 | 2006-05-02 |
| 1043832256 | Morgan Trokey | Registered Nurse | 2115 S Fremont Ave Ste 5000, Springfield, MO 65804-2230 | 2020-05-11 |
| 1578116794 | Amy Shipley | Nurse Practitioner | 2115 S Fremont Ave Ste 5000, Springfield, MO 65804-2230 | 2019-07-17 |
| 1881032795 | Kyli Ann Myears | Nurse Practitioner | 2115 S Fremont Ave Ste 5000, Springfield, MO 65804-2230 | 2013-06-13 |
| 1558658815 | Bernardino L.v.c.b. Rocha | Surgery | 2115 S Fremont Ave Ste 5000, Springfield, MO 65804 | 2011-07-06 |
| 1407141914 | Ricardo Figueroa-vicenty | Surgery | 2115 S Fremont Ave Ste 5000, Springfield, MO 65804-2230 | 2011-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
| 1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
| 1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
| 1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
| 1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| 1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
| Find all providers in zip 65804 | ||||
| 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 |
|---|---|---|---|---|
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1962791632 | Rishi Subbarayan | Surgery | 960 16th St, Springfield, OR 97477-4175 | 2011-04-04 |
| 1720220759 | Kathleen M Lamb | Surgery | 446 Kent Rd, Springfield, PA 19064-3306 | 2009-04-06 |
| 1417943937 | Kim J Hodgson | Surgery | 340 W Miller St, Springfield, IL 62702-4928 | 2005-09-20 |
| 1275525743 | Michael D Addis | Surgery | 649 Morris Ave, Springfield, NJ 07081-1518 | 2005-08-19 |
| 1861496242 | Springfield Surgery PC | Surgery | 322 Northcrest Dr, Springfield, TN 37172-3963 | 2005-06-13 |
| 1497315873 | Shawn Poole | Surgery | 701 N 1st St # D346, Springfield, IL 62702-3757 | 2019-06-18 |
| 1952830473 | Ruhani Nanavati | Surgery | 701 N 1st St # D346, Springfield, IL 62702-3757 | 2017-06-08 |
| 1356894521 | Tian Zhang | Surgery | 701 N 1st St, Springfield, IL 62702-3757 | 2016-07-25 |
| 1730528563 | Emily Marie Serafin | Surgery | 800 N 1st St, Springfield, IL 62702 | 2013-06-14 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65804 |
Please comment or provide details below to improve the information on DR. MARK PHILLIP WRIGHT.
| 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.