James S Wagenaar in Ironton - Emergency Medicine

James S Wagenaar - NPI 1194768754

James S Wagenaar is a Emergency Medicine in Ironton, Ohio. James S Wagenaar practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for James S Wagenaar is 1194768754. The last update date is 2020-10-29.

James S Wagenaar's current location address is 1408 Campbell Dr, Ironton, Ohio. You can contact this provider via phone number 7405339710 and fax number 7405539712. The mailing address for James S Wagenaar is 1408 Campbell Dr, Ironton, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name James S Wagenaar
Address 1408 Campbell Dr, Ironton, Ohio
Phone Number 7405339710
Fax Number 7405539712
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1194768754
Provider Enumeration Date 2006-06-13
Last Updated Date 2020-10-29

Provider Mailing Address Detail

Address 1408 Campbell Dr
City Ironton
State Ohio (OH)
Post Code 456382301
Phone Number 7405339710
Fax Number 7405539712

Provider's Primary Taxonomy Detail

Speciality Emergency Medicine
Taxonomy 207P00000X
Licence No 34005359
Definition:
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
493481 ANTHEM BCBS
702618 MOUNTAIN STATE BCBS
210197 OH OH MEDICAID UNISON
310917085154 OH OH MEDICAID CARESOURCE
43615000 WV --
843529 OH --

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FAQs about James S Wagenaar

What is the unique 10-digit identification code issued to James S Wagenaar by the Centers for Medicare & Medicaid Services?

The James S Wagenaar has been assigned the NPI (National Provider Identifier) 1194768754 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the James S Wagenaar's physical address?

The James S Wagenaar is physically located at 1408 Campbell Dr, in the city of Ironton, OH, with the postal code 456382301.

What is James S Wagenaar's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for James S Wagenaar is Emergency Medicine, and the corresponding taxonomy classification code for this specialized field is 207P00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1194768754 to James S Wagenaar?

The Centers for Medicare & Medicaid Services originally issued the 1194768754 to James S Wagenaar on 2006-06-13.

When was the information related to James S Wagenaar most recently updated or refreshed?

The details pertaining to the James S Wagenaar, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-10-29.

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