Provider Demographics
NPI:1336123421
Name:WRIGHT, CARA (MD)
Entity Type:Individual
Prefix:DR
First Name:CARA
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CARA
Other - Middle Name:D
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2926 W HUNTSVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72762-7726
Mailing Address - Country:US
Mailing Address - Phone:479-927-6249
Mailing Address - Fax:479-927-3085
Practice Address - Street 1:2926 W HUNTSVILLE AVE
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72762-7726
Practice Address - Country:US
Practice Address - Phone:479-927-6249
Practice Address - Fax:479-927-3085
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-1700207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100227620AMedicaid
AR143616001Medicaid
AR770153901OtherARKANSAS BREASTCARE
AR5L800C129Medicare PIN
50078811Medicare PIN
G83232Medicare UPIN
AR5L800Medicare PIN