Provider Demographics
NPI:1346349362
Name:WRIGHT, JOHN C (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:C
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:94220 4TH ST
Mailing Address - Street 2:ANNEX
Mailing Address - City:GOLD BEACH
Mailing Address - State:OR
Mailing Address - Zip Code:97444-7756
Mailing Address - Country:US
Mailing Address - Phone:541-247-3000
Mailing Address - Fax:541-247-3101
Practice Address - Street 1:94244 4TH ST
Practice Address - Street 2:
Practice Address - City:GOLD BEACH
Practice Address - State:OR
Practice Address - Zip Code:97444-7756
Practice Address - Country:US
Practice Address - Phone:541-247-3155
Practice Address - Fax:541-247-3530
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXE2953207X00000X
ORMD28914207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR20-1596824OtherRUSH SURGERY CENTER, LLC - TAX I.D.
OR1346486818OtherCURRY MEDICAL PRACTICE NPI
OR1518290642OtherRUSH MEDICAL CLINIC NPI
OR381322OtherCURRY GENERAL HOSPITAL - MEDICARE PART A
OR500624052OtherRUSH MEDICAL CLINIC - MEDICAID
OR93-0937095OtherCURRY HEALTH DISTRICT TAX I.D.
OR1164452249OtherRUSH SURGER CENTER, LLC NPI
OR0000AGBDGOtherRUSH MEDICAL CLINIC - MEDICARE PART B
OR0000ZGBDGOtherCURRY MEDICAL PRACTICE - MEDICARE PART B
OR240088OtherRUSH SURGERY CENTER, LLC - MEDICAID
OR134825OtherRUSH SURGERY CENTER, LLC - MEDICARE
OR500603114Medicaid
OR0000ZGBDGOtherCURRY MEDICAL PRACTICE - MEDICARE PART B
TXD33407Medicare UPIN