Jeffrey D. Wagner, Md, Pc in Indianapolis - Medical Specialty
Jeffrey D. Wagner, Md, Pc - NPI 1609079607
Jeffrey D. Wagner, Md, Pc is a Medical Specialty in Indianapolis, Indiana. Jeffrey D. Wagner, Md, Pc practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Jeffrey D. Wagner, Md, Pc is 1609079607. The last update date is 2021-11-02.
Jeffrey D. Wagner, Md, Pc's current location address is 8040 Clearvista Pkwy Ste 570, Indianapolis, Indiana. You can contact this provider via phone number 3176212580. The mailing address for Jeffrey D. Wagner, Md, Pc is 8040 Clearvista Pkwy Ste 570, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jeffrey D. Wagner, Md, Pc |
|---|---|
| Address | 8040 Clearvista Pkwy Ste 570, Indianapolis, Indiana |
| Phone Number | 3176212580 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Wagner D. Jeffrey |
| Credentials | MD |
| Telephone Number | 3176212520 |
NPI Number Detail
| NPI Number | 1609079607 |
|---|---|
| Provider Enumeration Date | 2007-06-07 |
| Last Updated Date | 2021-11-02 |
Provider Mailing Address Detail
| Address | 8040 Clearvista Pkwy Ste 570 |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462564673 |
| Phone Number | 3176212580 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
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Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jeffrey D. Wagner, Md, Pc by the Centers for Medicare & Medicaid Services?
The Jeffrey D. Wagner, Md, Pc has been issued the NPI (National Provider Identifier) 1609079607, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jeffrey D. Wagner, Md, Pc's facilities are geographically located?
The facilities of Jeffrey D. Wagner, Md, Pc are physically situated at the following location: 8040 Clearvista Pkwy Ste 570, Indianapolis, IN, 462564673.
What is Jeffrey D. Wagner, Md, Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jeffrey D. Wagner, Md, Pc's area of specialization is Medical Specialty, and the corresponding taxonomy code that categorizes this field of practice is 261Qm2500X.
On what date did the Jeffrey D. Wagner, Md, Pc receive the assignment of its 1609079607 from the Centers for Medicare & Medicaid Services?
The Jeffrey D. Wagner, Md, Pc was issued its 1609079607 by the Centers for Medicare & Medicaid Services on 2007-06-07.
When was the Jeffrey D. Wagner, Md, Pc's information last updated?
The Jeffrey D. Wagner, Md, Pc's information was last updated on 2021-11-02.
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