Joni Wagner is a Physician Assistant in Salem, South Dakota. Joni Wagner practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Joni Wagner is 1992775027. The last update date is 2017-12-27.
Joni Wagner's current location address is 740 S Hill St, Salem, South Dakota. You can contact this provider via phone number 6054252855 and fax number 6054252149. The mailing address for Joni Wagner is 740 S Hill St, Salem, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joni Wagner |
|---|---|
| Address | 740 S Hill St, Salem, South Dakota |
| Phone Number | 6054252855 |
| Fax Number | 6054252149 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1992775027 |
|---|---|
| Provider Enumeration Date | 2006-01-23 |
| Last Updated Date | 2017-12-27 |
Provider Mailing Address Detail
| Address | 740 S Hill St |
|---|---|
| City | Salem |
| State | South Dakota (SD) |
| Post Code | 570588760 |
| Phone Number | 6054252855 |
| Fax Number | 6054252149 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 481 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 01-11971 | SD | MEDICA | |
| S1639 | SD | MEDICARE PTAN | |
| 2843 | SD | AVERA HEALTH | |
| 234724 | SD | MIDLAND'S CHOICE | |
| 9238086 | SD | DAKOTACARE | |
| HP34870 | SD | HEALTH PARTNERS | |
| 4997236 | SD | WELLMARK | |
| 6823310 | SD | -- | |
| AH1311029419 | SD | PREFERRED ONE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Joni Wagner by the Centers for Medicare & Medicaid Services?
The Joni Wagner has been issued the NPI (National Provider Identifier) 1992775027, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Joni Wagner's physical address?
The Joni Wagner is physically located at 740 S Hill St, in the city of Salem, SD, with the postal code 570588760.
What is the Joni Wagner's area of specialization and corresponding taxonomy classification?
The Joni Wagner's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
When did the Joni Wagner receive its 1992775027?
The Joni Wagner was issued its 1992775027 on 2006-01-23, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Joni Wagner most recently updated or revised?
The information pertaining to Joni Wagner, including its address, specialty, and other relevant details, was last updated or revised on 2017-12-27.