DR. ERIC M WAGLE (NPI# 1306810775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306810775 |
| Entity Type | Individual |
| Full Name | DR. ERIC M WAGLE |
| Credential | M.D. |
| Practice Address |
2546 Balltown Rd Ste 100 Schenectady NY 12309-1079 |
| Mailing Address |
711 Troy Schenectady Rd Ste 203 Latham NY 12110-2461 |
| Practice Telephone | 5183721344 |
| Mailing Telephone | 5187823700 |
| Mailing Fax Number | 5187823799 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2019-03-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
206811 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01754681 | 05 |
| Street Address |
2546 BALLTOWN RD STE 100 |
| City | SCHENECTADY |
| State | NY |
| Zip Code | 12309-1079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194798926 | Sasi K Cheruvu | Radiology | 2546 Balltown Rd Ste 100, Schenectady, NY 12309-1079 | 2006-02-10 |
| 1306075031 | Won-hong Ung | Radiology | 2546 Balltown Rd Ste 100, Schenectady, NY 12309-1079 | 2009-07-02 |
| 1366602971 | Sara P. Raymond | Radiology | 2546 Balltown Rd Ste 100, Schenectady, NY 12309-1079 | 2008-06-17 |
| 1447224811 | Juho Song | Radiology | 2546 Balltown Rd Ste 100, Schenectady, NY 12309-1079 | 2006-02-14 |
| 1033183405 | Gary W Wood | Radiology | 2546 Balltown Rd Ste 100, Schenectady, NY 12309-1079 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154973071 | Albany Med Niskayuna Ambulatory Endoscopy and Surgery Center | Clinic/Center | 1769 Union Street, 3rd Floor, Niskayana, NY 12309 | 2019-07-11 |
| 1902396351 | Erica S Hill | Occupational Therapist | 2246 Van Rensselaer Dr, Niskayuna, NY 12309 | 2018-05-11 |
| 1588107015 | Orthopedicsny, LLP | Orthopaedic Surgery | 1760 Union St, Suite 100, Schenectady, NY 12309 | 2016-12-01 |
| 1932589983 | Patricia P Primomo | Dentist | 2310 Nott Street East, Niskayuna, NY 12309 | 2015-06-04 |
| 1386074268 | Bernard P Kinlan | Social Worker | 1 Ascot Lane, Terrace At Glen Eddy, Niskayuna, NY 12309 | 2013-11-14 |
| 1255680344 | Rudy Nydegger Phd, Abpp, Pllc | Psychologist | 2317 Balltown Rd., Suite 203, Schenectady, NY 12309 | 2012-09-05 |
| 1407104094 | Rachelle Ann Kehoe | Specialist | 950 St. David's Lane, Schenectady, NY 12309 | 2012-08-29 |
| 1073882726 | Kristina Lynn Deangelo | Speech-Language Pathologist | 1872 Hexam Road West, Niskayuna, NY 12309 | 2011-12-27 |
| 1467720136 | Jjm Chiropractic, LLC | Chiropractor | 1756 Union St., Niskayuna, NY 12309 | 2011-12-08 |
| 1659658474 | Richard W Glover | Dentist | 2310 Nott St. East, Niskayuna, NY 12309 | 2011-11-08 |
| Find all providers in zip 12309 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659528966 | Community Care Physicians, PC | Radiology | 2546 Balltown Rd., Suite 100, Schenectady, NY 12309 | 2008-08-19 |
| 1316194624 | Schenectady Radiologists | Radiology | 2210 Troy Schenectady Rd., Schenectady, NY 12309 | 2008-08-19 |
| 1831345628 | Schenectady Radiologists | Radiology | 1101 Nott Street, Schenectady, NY 12308 | 2008-08-12 |
| 1972576635 | Areta M Pidwerbetsky | Radiology | 2456 Balltown Road, Suite 100, Schenectady, NY 12309 | 2006-02-10 |
| 1194798926 | Sasi K Cheruvu | Radiology | 2546 Balltown Rd Ste 100, Schenectady, NY 12309-1079 | 2006-02-10 |
| 1891068490 | Community Care Physicians, PC | Radiology | 2125 River Rd, Suite 104, Schenectady, NY 12309-1135 | 2012-02-14 |
| 1508016684 | Jomol Cyriac Turinsky | Radiology | 107 Nott Ter, Suite 100, Schenectady, NY 12308-3170 | 2008-09-24 |
| 1063669372 | Schenectady Radiologists | Radiology | 600 Mcclellan St, Schenectady, NY 12308 | 2008-08-19 |
| 1699922906 | Schenectady Radiologists | Radiology | 1270 Belmont Ave, Schenectady, NY 12308 | 2008-08-19 |
| 1629225933 | Schnectady Radiologists | Radiology | 530 Liberty St, Schenectady, NY 12305 | 2008-08-19 |
| Find all providers in SCHENECTADY | ||||
| City | SCHENECTADY |
| Zip Code | 12309 |
Please comment or provide details below to improve the information on DR. ERIC M WAGLE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.