Healthcare Provider Details
I. General information
NPI: 1861462798
Provider Name (Legal Business Name): JOHN D WRIGHTSON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/24/2006
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3212 WILMINGTON RD STE 20
NEW CASTLE PA
16105
US
IV. Provider business mailing address
3212 WILMINGTON RD STE 20
NEW CASTLE PA
16105
US
V. Phone/Fax
- Phone: 724-598-2280
- Fax: 724-598-2282
- Phone: 724-598-2280
- Fax: 724-598-2282
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2080S0010X |
| Taxonomy | Pediatric Sports Medicine Physician |
| License Number | MD0578771L |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208100000X |
| Taxonomy | Physical Medicine & Rehabilitation Physician |
| License Number | MD0578771L |
| License Number State | PA |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2081P2900X |
| Taxonomy | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| License Number | MD0578771L |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: