Provider Demographics
NPI:1477558005
Name:WRIGHT, PETER D (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:D
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 PASADENA DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-2925
Mailing Address - Country:US
Mailing Address - Phone:859-278-1316
Mailing Address - Fax:859-276-1574
Practice Address - Street 1:2416 REGENCY RD
Practice Address - Street 2:STE 30
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-2954
Practice Address - Country:US
Practice Address - Phone:859-278-1316
Practice Address - Fax:859-276-1574
Is Sole Proprietor?:No
Enumeration Date:2005-06-20
Last Update Date:2011-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY34428208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY5514499OtherFIRST HEALTH
KY611142277OtherCHA
KY1392787OtherUMWA
KY64344286Medicaid
KY611142277OtherUNITED HEALTHCARE
KY611142277LOtherHUMANA
KY163663600OtherDOL
KY611142277OtherBLUEGRASS FAMILY HEALTH
KY611142277OtherTRICARE
KY0000049165OtherANTHEM BC/BS
KY1134498OtherPASSPORT
KY130019015OtherRAILROAD MCR
KY611142277OtherTRICARE
KY64344286Medicaid