Basic Information
| Provider Information | |||||||||
| NPI: | 1437190956 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WRIGHT | ||||||||
| FirstName: | RONALD | ||||||||
| MiddleName: | L | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 301 GORDON GUTMANN BLVD | ||||||||
| Address2: | STE 201 | ||||||||
| City: | JEFFERSONVILLE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 471303766 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5024515855 | ||||||||
| FaxNumber: | 5024791409 | ||||||||
| Practice Location | |||||||||
| Address1: | 301 W 13TH STREET | ||||||||
| Address2: | STE 201 | ||||||||
| City: | JEFFERSONVILLE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 47130 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8122826114 | ||||||||
| FaxNumber: | 8122826340 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/08/2006 | ||||||||
| LastUpdateDate: | 06/26/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207VX0000X | 01057564B | IN | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Obstetrics | 207V00000X | 37845 | KY | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 200455860 | 05 | IN | MEDICAID | 3691820000 | 01 | KY | PASSPORT ADVTG - WS | OTHER | 000000594680 | 01 | KY | ANTHEM - WS | OTHER | 00533085 | 01 | KY | MEDICARE - WS | OTHER | 000023034V | 01 | KY | HUMANA - WS | OTHER | 64074974 | 05 | KY | MEDICAID | 100588 | 01 | KY | SIHO - WS | OTHER | 50021526 | 01 | KY | PASSPORT -WS | OTHER |