Provider Demographics
NPI:1962491126
Name:WRIGHT, MARIA BETH (MD)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:BETH
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3590 LUCILLE DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45213-2674
Mailing Address - Country:US
Mailing Address - Phone:513-271-5111
Mailing Address - Fax:513-272-7084
Practice Address - Street 1:3590 LUCILLE DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45213-2674
Practice Address - Country:US
Practice Address - Phone:513-271-5111
Practice Address - Fax:513-272-7084
Is Sole Proprietor?:No
Enumeration Date:2005-10-19
Last Update Date:2015-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35 068250207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH110241398OtherRR MEDICARE
OH2036639Medicaid
OH0857262Medicare PIN
OH2036639Medicaid