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NPI Code Detail

MEDICARE: SCOTT J WRIGHT M.D.

MEDICARE: SCOTT J WRIGHT M.D.
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
12084P0800XPsychiatry Physician036100033IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447258181
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT J WRIGHT M.D.
Provider Business Mailing Address
First Line : PO BOX 19639
Second Line :
City : SPRINGFIELD
State : IL
Zip : 62794-9639
Country : US
Telephone Number : 217-545-8000
Fax Number :
Provider Business Practice Location Address
First Line : 4409 MAINE ST
Second Line :
City : QUINCY
State : IL
Zip : 62305-5849
Country : US
Telephone Number : 217-223-0413
Fax Number : 309-836-5001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 09/18/2024

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