1316193402 NPI number — ARTHUR S WRIGHT DPM PC

Table of content: (NPI 1316193402)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316193402 NPI number — ARTHUR S WRIGHT DPM PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARTHUR S WRIGHT DPM PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1316193402
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/08/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1706 WESTFALL RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROCHESTER
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14618-2743
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
585-271-3199
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1706 WESTFALL RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROCHESTER
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14618-2743
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-271-3199
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/08/2008

Additional Information

Authorized Official

Authorized Official Last Name:
WRIGHT
Authorized Official First Name:
ARTHUR
Authorized Official Middle Name:
S
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
585-271-3199

Provider Taxonomy Codes

  • Taxonomy code: 213ES0131X , with the licence number:  N002397-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 480035016 . This is a "UHC MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 716778 . This is a "MVP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: P010002397 . This is a "EXCELLUS ROCHESTER" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 00421701 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1861454951 . This is a "NPI" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 005082397 . This is a "BSWNY" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: OPAK55 . This is a "PREFERRED CARE" identifier . This identifiers is of the category "OTHER".




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