Provider Demographics
NPI:1932193034
Name:WRIGHT, RALPH J III (MD)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:J
Last Name:WRIGHT
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7951 E MAPLEWOOD AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4726
Mailing Address - Country:US
Mailing Address - Phone:303-930-7800
Mailing Address - Fax:303-930-7860
Practice Address - Street 1:11750 W 2ND PL
Practice Address - Street 2:#SUITE 150
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1573
Practice Address - Country:US
Practice Address - Phone:303-763-4020
Practice Address - Fax:303-763-4039
Is Sole Proprietor?:No
Enumeration Date:2005-09-02
Last Update Date:2013-12-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH350630132085R0001X
KY335782085R0001X
CO498112085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO56536356Medicaid
KY64869282Medicaid
IN100375680Medicaid
OH0870446Medicaid
COCOA106613Medicare PIN
KY0625230Medicare PIN
F23574Medicare UPIN
OH4041215Medicare PIN