Healthcare Provider Details

I. General information

NPI: 1891206868
Provider Name (Legal Business Name): MICHELLE ELIZABETH WRIGHT MPAS, PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2017
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 MIAMISBURG CENTERVILLE RD STE 420
MIAMISBURG OH
45342-7615
US

IV. Provider business mailing address

7740 WASHINGTON VILLAGE DR STE 110
DAYTON OH
45459-3994
US

V. Phone/Fax

Practice location:
  • Phone: 937-762-1306
  • Fax: 937-522-7017
Mailing address:
  • Phone: 937-439-4145
  • Fax: 937-439-4371

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number50.005265RX
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number50.005265RX
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: