1598749905 NPI number — DR. HAROLD RUSSELL WRIGHT JR. MD

Table of content: THERESA P TANGHERLINI (NPI 1801852355)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598749905 NPI number — DR. HAROLD RUSSELL WRIGHT JR. MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WRIGHT
Provider First Name:
HAROLD
Provider Middle Name:
RUSSELL
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
JR.
Provider Credential Text:
MD
Provider Gender Code:
M

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:
1598749905
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/11/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7401 OSLER DR
Provider Second Line Business Mailing Address:
SUITE 213
Provider Business Mailing Address City Name:
BALTIMORE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21204-7673
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-583-0103
Provider Business Mailing Address Fax Number:
410-583-1211

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7401 OSLER DR
Provider Second Line Business Practice Location Address:
SUITE 213
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21204-7673
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-583-0103
Provider Business Practice Location Address Fax Number:
410-583-1211
Provider Enumeration Date:
11/30/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Y00000X , with the licence number:  D24191 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207YX0602X , with the licence number: D24191 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 010028 . This is a "JOHNS HOPKINS HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1000069 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 324122 . This is a "MAMSI" identifier . This identifiers is of the category "OTHER".
  • Identifier: KC05H35076702 . This is a "CAREFIRST BCBS" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: W4230001 . This is a "BCBS FEDERAL" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1992184004 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 6902000000KC05 . This is a "CAREFIRST BCBS NASCO" identifier . This identifiers is of the category "OTHER".
  • Identifier: V00001113 . This is a "UNITED HEALTHCARE OF THE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4070206 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: W423 . This is a "CAREFIRST BCBS BLUECHOICE" identifier . This identifiers is of the category "OTHER".




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