WRIGHT STATE PHYSICIANS INC
NPI 1205197985
Orthopaedic Surgery in Dayton, OH
- Organization
- Orthopaedic Surgery
- CLIA Number: 36D2330029
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-08-2027
About WRIGHT STATE PHYSICIANS INC
This page provides the complete NPI Profile along with additional information for Wright State Physicians Inc, a provider established in Dayton, Ohio operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1205197985 assigned on May 2012. The practitioner's primary taxonomy code is 207X00000X with license number 821388 (OH). The provider is registered as an organization and their NPI record was last updated 12 years ago. Wright State Physicians Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Alan Marco Md (President Ceo)
- NPI
- 1205197985 Verify this NPI
- Provider Name
- WRIGHT STATE PHYSICIANS INC
- Entity Type
- Organization
- Location Address
- 725 UNIVERSITY BLVD DAYTON, OH 45435
- Location Phone
- (937) 245-7100
- Location Fax
- (937) 245-7999
- Mailing Address
- 725 UNIVERSITY BLVD FAIRBORN, OH 45324
- Mailing Phone
- (937) 245-7100
- Mailing Fax
- (937) 245-7999
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-30-2012
- Last Update Date
- 06-13-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 821388
- License State
- OH
- Taxonomy Description
- An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207N00000X | Allopathic & Osteopathic Physicians | Dermatology | 821388 (OH) |
| 2 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 821388 (OH) |
| 3 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 821388 (OH) |
| 4 | 207ZD0900X | Allopathic & Osteopathic Physicians | Pathology | 821388 (OH) |
| 5 | 208200000X | Allopathic & Osteopathic Physicians | Plastic Surgery | 821388 (OH) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 821388 | OTHER (01) | OH | BUSINESS LICENSURE |
| 0654700011 | MEDICARE NSC (07) | OH | |
| 1114920329 | OTHER (01) | OH | PARENT GROUP NPI |
| 0914443 | MEDICAID (05) | OH | |
| WR9256604 | MEDICARE PIN (08) | OH |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 36D2330029
- Facility Type
- Physician Office
- Certificate Effective Date
- September 09, 2025
- Certificate Expiration Date
- September 08, 2027
- Laboratory Director
- MARC RASLICH
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Wright State Physicians Inc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
DAYTON, OH 45435
DAYTON, OH 45435
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205197985, enumerated as an "organization" on May 30, 2012.
The provider is located at 725 UNIVERSITY BLVD DAYTON, OH 45435 and the phone number is (937) 245-7100.
Orthopaedic Surgery with taxonomy code 207X00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
