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NPI Code Detail

MEDICARE: DR. THEODORE WRIGHT M.D.

MEDICARE:  DR. THEODORE  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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianMA68195NJ
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianA82758CA
3208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician45267WI
4208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician39329KY

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 : 1699758268
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THEODORE WRIGHT M.D.
Provider Business Mailing Address
First Line : 740 S LIMESTONE
Second Line : A301
City : LEXINGTON
State : KY
Zip : 40536-0284
Country : US
Telephone Number : 859-323-6494
Fax Number : 859-257-4682
Provider Business Practice Location Address
First Line : 740 S LIMESTONE
Second Line : A301
City : LEXINGTON
State : KY
Zip : 40536-0284
Country : US
Telephone Number : 859-323-6494
Fax Number : 859-257-4682
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2005
Last Update Date : 08/02/2013

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Directions to “ DR. THEODORE WRIGHT M.D.” Practice Location

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