Provider Demographics
NPI:1467507871
Name:WRIGHT, RICHARD OSBORNE SR (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:OSBORNE
Last Name:WRIGHT
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1401 TIDEWATER DR
Mailing Address - Street 2:SUITE 6
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23504-2840
Mailing Address - Country:US
Mailing Address - Phone:757-628-1599
Mailing Address - Fax:757-274-1600
Practice Address - Street 1:1401 TIDEWATER DR
Practice Address - Street 2:SUITE 6
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23504-2840
Practice Address - Country:US
Practice Address - Phone:757-628-1599
Practice Address - Fax:757-274-1600
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2014-08-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101048140208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA710873470OtherHUMANA (MEDICARE)
VA7367724Medicaid
VAF32586Medicare UPIN
VA020000765Medicare PIN