Provider Demographics
NPI:1437190956
Name:WRIGHT, RONALD L (MD)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:L
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 GORDON GUTMANN BLVD
Mailing Address - Street 2:STE 201
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47130-3766
Mailing Address - Country:US
Mailing Address - Phone:502-451-5855
Mailing Address - Fax:502-479-1409
Practice Address - Street 1:301 W 13TH STREET
Practice Address - Street 2:STE 201
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130
Practice Address - Country:US
Practice Address - Phone:812-282-6114
Practice Address - Fax:812-282-6340
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01057564B207VX0000X
KY37845207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200455860Medicaid
KY3691820000OtherPASSPORT ADVTG - WS
KY000000594680OtherANTHEM - WS
KY00533085OtherMEDICARE - WS
KY000023034VOtherHUMANA - WS
KY64074974Medicaid
KY100588OtherSIHO - WS
KY50021526OtherPASSPORT -WS
KY0609065Medicare ID - Type Unspecified
KY000000594680OtherANTHEM - WS