Terry John Wagner in Hudson - Family Medicine
Terry John Wagner - NPI 1679574834
Terry John Wagner is a Family Medicine in Hudson, Ohio. Terry John Wagner practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Terry John Wagner is 1679574834. The last update date is 2020-02-03.
Terry John Wagner's current location address is 5655 Hudson Dr Ste 303, Hudson, Ohio. You can contact this provider via phone number 3308004800 and fax number 3306533007. The mailing address for Terry John Wagner is 5655 Hudson Dr Ste 303, Hudson, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Terry John Wagner |
|---|---|
| Address | 5655 Hudson Dr Ste 303, Hudson, Ohio |
| Phone Number | 3308004800 |
| Fax Number | 3306533007 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1679574834 |
|---|---|
| Provider Enumeration Date | 2005-08-09 |
| Last Updated Date | 2020-02-03 |
Provider Mailing Address Detail
| Address | 5655 Hudson Dr Ste 303 |
|---|---|
| City | Hudson |
| State | Ohio (OH) |
| Post Code | 442364454 |
| Phone Number | 3308004800 |
| Fax Number | 3306533007 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 34006428 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 801451153 | OH | RAILROAD MEDICARE | |
| 2041543 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Terry John Wagner by the Centers for Medicare & Medicaid Services?
The Terry John Wagner has been assigned the NPI (National Provider Identifier) 1679574834 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Terry John Wagner?
The Terry John Wagner is physically situated at 5655 Hudson Dr Ste 303, in the city of Hudson, state of OH, with the postal code 442364454.
What is the Terry John Wagner's specialty and taxonomy code?
The Terry John Wagner's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
When did Terry John Wagner receive its 1679574834 assignment?
The Terry John Wagner was assigned its 1679574834 on 2005-08-09, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Terry John Wagner, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Terry John Wagner, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-02-03.