Healthcare Provider Details

I. General information

NPI: 1437190956
Provider Name (Legal Business Name): RONALD L WRIGHT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 06/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 W 13TH STREET STE 201
JEFFERSONVILLE IN
47130
US

IV. Provider business mailing address

301 GORDON GUTMANN BLVD STE 201
JEFFERSONVILLE IN
47130-3766
US

V. Phone/Fax

Practice location:
  • Phone: 812-282-6114
  • Fax: 812-282-6340
Mailing address:
  • Phone: 502-451-5855
  • Fax: 502-479-1409

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number01057564B
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number37845
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: