Christina Ruth Wagner in Fairfield - Pediatrics
Christina Ruth Wagner - NPI 1518957273
Christina Ruth Wagner is a Pediatrics in Fairfield, Illinois. Christina Ruth Wagner practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Christina Ruth Wagner is 1518957273. The last update date is 2015-05-28.
Christina Ruth Wagner's current location address is 209 Nw 11th St, Fairfield, Illinois. You can contact this provider via phone number 6188424470 and fax number 6188424470. The mailing address for Christina Ruth Wagner is 209 Nw 11th St, Fairfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Christina Ruth Wagner |
|---|---|
| Address | 209 Nw 11th St, Fairfield, Illinois |
| Phone Number | 6188424470 |
| Fax Number | 6188424470 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1518957273 |
|---|---|
| Provider Enumeration Date | 2005-10-25 |
| Last Updated Date | 2015-05-28 |
Provider Mailing Address Detail
| Address | 209 Nw 11th St |
|---|---|
| City | Fairfield |
| State | Illinois (IL) |
| Post Code | 628371218 |
| Phone Number | 6188424470 |
| Fax Number | 6188424470 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 36107740 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36107740 | IL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Christina Ruth Wagner?
The Christina Ruth Wagner has been issued the NPI (National Provider Identifier) 1518957273 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Christina Ruth Wagner is physically located?
The Christina Ruth Wagner is situated at the following address: 209 Nw 11Th St, Fairfield, IL 628371218.
What is Christina Ruth Wagner's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Christina Ruth Wagner is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 208000000X.
On what date did Christina Ruth Wagner receive its 1518957273 assignment from the Centers for Medicare & Medicaid Services?
The Christina Ruth Wagner was assigned its 1518957273 on 2005-10-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Christina Ruth Wagner most recently updated or revised?
The details related to Christina Ruth Wagner, including its address, specialty, and other relevant information, were last updated or revised on 2015-05-28.