Provider Demographics
NPI:1104888767
Name:WRIGHT, DENNIS (MD)
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:
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 1:1 AKRON GENERAL AVE
Mailing Address - Street 2:#3500
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44307-2432
Mailing Address - Country:US
Mailing Address - Phone:330-344-1400
Mailing Address - Fax:330-344-0112
Practice Address - Street 1:1 AKRON GENERAL AVE
Practice Address - Street 2:#3500
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44307-2432
Practice Address - Country:US
Practice Address - Phone:330-344-1400
Practice Address - Fax:330-344-0112
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2015-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-0501852086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1265700520OtherCARDIAC, THORACIC & VASCULAR SPECIALISTS - TYPE 2 NPI # - WOOSTER
OH2551671OtherPARTNERS PHYSICIAN GROUP MEDICAID GROUP #
OH1144401464OtherCARDIAC, THORACIC & VASCULAR SPECIALISTS - TYPE 2 NPI # - AKRON
OH0799006Medicaid
OH1841239274OtherPARTNERS PHYSICIAN GROUP TYPE 2 NPI #
OH9338635OtherPARTNERS PHYSICIAN GROUP MEDICARE GROUP #
OHP00681902OtherRAILROAD MEDICARE #
OH1144401464OtherCARDIAC, THORACIC & VASCULAR SPECIALISTS - TYPE 2 NPI # - AKRON