Provider Demographics
NPI:1225003395
Name:WRIGHT, JAMEY D (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMEY
Middle Name:D
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1310 OLD HIGHWAY 63 S
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65201-6078
Mailing Address - Country:US
Mailing Address - Phone:877-442-7487
Mailing Address - Fax:281-358-7814
Practice Address - Street 1:2590 S WINDING TRAIL DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-3119
Practice Address - Country:US
Practice Address - Phone:573-289-1850
Practice Address - Fax:573-441-9012
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MOMD1065952085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO209792308Medicaid
G70132Medicare UPIN