Provider Demographics
NPI:1861462798
Name:WRIGHTSON, JOHN D (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:D
Last Name:WRIGHTSON
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 1:3212 WILMINGTON RD
Mailing Address - Street 2:STE 20
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16105
Mailing Address - Country:US
Mailing Address - Phone:724-598-2280
Mailing Address - Fax:724-598-2282
Practice Address - Street 1:3212 WILMINGTON RD
Practice Address - Street 2:STE 20
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105
Practice Address - Country:US
Practice Address - Phone:724-598-2280
Practice Address - Fax:724-598-2282
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-24
Last Update Date:2012-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD0578771L2080S0010X, 208100000X, 2081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No2080S0010XAllopathic & Osteopathic PhysiciansPediatricsSports Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA213218OtherUPMC
PA00962304OtherBC/BS
PA040517Medicare ID - Type Unspecified
PA213218OtherUPMC