# WRIGHT SURGICAL ASSISTANT

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972996668
- **Authorized official:** JOHN ROGER WRIGHT (CERTIFIED SURGICAL ASSISTANT)
- **Authorized official phone:** (757) 412-8017

## Contact information

- **Practice address:** 4100 PERIDOT DR, VA BEACH, VA 23456-5804
- **Practice address phone:** (757) 412-8017
- **Mailing address:** 4100 PERIDOT DR, VIRGINIA BEACH, VA 23456-5804

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 1212 | VA | — |
| 282N00000X | General Acute Care Hospital | 1212 | VA | Yes |

## Other

- **Enumeration date:** 03/05/2015
- **Last updated:** 03/05/2015