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Organization
WRIGHT STATE PHYSICIANS INC
Active
Organization
WRIGHT STATE PHYSICIANS INC
Active
Other names
Univeristy Medical Services Assoc. Inc
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY PAUL (AUTHORIZED OFFICIAL)
(937) 245-7125
Entity
Organization
Contact information
Practice address
725 UNIVERSITY BLVD, DAYTON, OH 45435-0001
(937) 245-7100
(937) 245-7999
Mailing address
725 UNIVERSITY BLVD, FAIRBORN, OH 45324-0000
(937) 245-7100
(937) 245-7999
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207VX0201X
Gynecologic Oncology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
2080P0206X
Pediatric Gastroenterology Physician
—
—
208200000X
Plastic Surgery Physician
—
—
2084N0400X
Neurology Physician
821388
OH
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0654700009
NSC SUITE 5253
—
05
—
0914443
—
OH
01
—
10654700002
MEDICARE DME PTAN
OH
01
—
1205197985
SUBPART NPI DME MOB
OH
01
—
1215178421
NSC SUBPART VASC SURG
—
01
—
1295977254
ASC DME NPI
—
01
—
1306087515
NCS SUBPART PLSTC SURG 6257
—
01
—
1316188147
SURGERY DME SUBGROUP
—
01
—
1417133380
ORTHO DME SUBGROUP
—
01
—
1427299841
NCS SUBPARTSURG ONC
—
01
—
1649447582
ASC SUBGROUP
—
01
—
3610562
MEDICARE PTAN ASC
—
01
—
821388
BUSINESS LICENSE
OH
Enumeration date
05/23/2005
Last updated
12/03/2019
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