Provider Demographics
NPI:1780663260
Name:WRIGHT, JAMES O III (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:O
Last Name:WRIGHT
Suffix:III
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 1:2401 DEMERS AVE
Mailing Address - Street 2:
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58201
Mailing Address - Country:US
Mailing Address - Phone:701-780-1891
Mailing Address - Fax:319-235-5607
Practice Address - Street 1:1300 S COLUMBIA RD.
Practice Address - Street 2:
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58201-4012
Practice Address - Country:US
Practice Address - Phone:701-780-2300
Practice Address - Fax:319-287-5832
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND14431208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1780663260Medicaid
IA421417307-M6OtherUHC/RIVER VALLEY/JD
IA30966OtherWELLMARK BCBS
IA421417307-M6OtherUHC/RIVER VALLEY/JD
IA30966OtherWELLMARK BCBS