MEDICARE: DR. JAMES H WRIGHT D.O

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	967	WV

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	P00095003	OTHER	WV	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	110546	OTHER	WV	ANTHEM BC/BS-PETERSTOWN
2	5611053	OTHER	WV	AETNA
3	147330	OTHER	WV	ANTHEM BC/BS-UNION
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	000723720	OTHER	WV	BC/BS
7	253050	OTHER	WV	CARELINK
8	8122548	OTHER	WV	MAMSI/UNITED HEALTHCARE

General Provider Information

NPI Number	:	1548268980
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES H WRIGHT D.O

Provider Business Mailing Address
First Line	:	PO BOX 25
Second Line	:
City	:	GREENVILLE
State	:	WV
Zip	:	24945-0025
Country	:	US
Telephone Number	:	304-832-4101
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 HEALTH CENTER DRIVE
Second Line	:
City	:	UNION
State	:	WV
Zip	:	24983
Country	:	US
Telephone Number	:	304-772-3064
Fax Number	:	304-772-3296

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2005
Last Update Date	:	07/20/2012

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Directions to “ DR. JAMES H WRIGHT D.O” Practice Location

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