Brian L Wagner (NPI# 1205815917, PAC ID# 0143248807) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1205815917 |
| PAC ID by PECOS | 0143248807 |
| Professional Enrollment ID | I20051110000812 |
| Full Name | Brian L Wagner |
| Organization Legal Name | CEP AMERICA - ANESTHESIA PC |
| Address |
95 Scripps Dr Sacramento CA 95825-6320 |
| Phone Number | 9169291833 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 3678897915 |
| Number of Group Practice Members | 188 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050017 | MERCY GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5771 Greenback Ln, Sacramento, CA 95841-2013 | 9164535450 | CEP AMERICA - ANESTHESIA PC |
| 95 Scripps Dr, Sacramento, CA 95825-6320 | 9169291833 | CEP AMERICA - ANESTHESIA PC |
| Organization Legal Name | CEP AMERICA - ANESTHESIA PC |
| Physicians | 177 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nate E Kelly | Anesthesiology | Cep America - Anesthesia PC | 39350 Civic Ctr Dr, Suite 100, Fremont, CA 94538-2384 |
| Gregory S Macdonell | Anesthesiology | Cep America - Anesthesia PC | 2425 Samaritan Dr, San Jose, CA 95124-3908 |
| Nivedita Bhown | Anesthesiology | Cep America - Anesthesia PC | 2105 Forest Ave, San Jose, CA 95128-1425 |
| Robert H Meints | Anesthesiology | Cep America - Anesthesia PC | 225 N Jackson Ave, San Jose, CA 95116-1603 |
| Raman S Grewal | Anesthesiology | Cep America - Anesthesia PC | 975 S Fairmont Ave, Lodi, CA 95240-5118 |
| Michael T Paige | Anesthesiology | Cep America - Anesthesia PC | 225 N Jackson Ave, San Jose, CA 95116-1603 |
| Phillip N Ruhl | Anesthesiology | Cep America - Anesthesia PC | 975 S Fairmont Ave, Lodi, CA 95240-5118 |
| Francis D Wong | Anesthesiology | Cep America - Anesthesia PC | 2000 Mowry Ave, Fremont, CA 94538-1716 |
| Chul-kyun Park | Anesthesiology | Cep America - Anesthesia PC | 2425 Samaritan Dr, San Jose, CA 95124-3908 |
| Samuel Chan | Anesthesiology | Cep America - Anesthesia PC | 155 Glasson Way, Grass Valley, CA 95945-5723 |
| Street Address |
95 SCRIPPS DR |
| City | SACRAMENTO |
| State | CA |
| Zip | 95825-6320 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott D Green | Plastic and Reconstructive Surgery | Sacramento Plastic and Reconstructive Surgery Medical Group Inc | 95 Scripps Dr, Sacramento, CA 95825-6320 |
| Susanne Roessler | Anesthesiology | Cep America - Anesthesia PC | 95 Scripps Dr, Sacramento, CA 95825-6320 |
| Joseph R Coscia | Plastic and Reconstructive Surgery | Sacramento Plastic and Reconstructive Surgery Medical Group Inc | 95 Scripps Dr, Sacramento, CA 95825-6320 |
| Wayne I Yamahata | Plastic and Reconstructive Surgery | Sacramento Plastic and Reconstructive Surgery Medical Group Inc | 95 Scripps Dr, Sacramento, CA 95825-6320 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Galen H Church | Family Medicine | Galen Medical Group, Inc. | 2200 Gramercy Dr, Sacramento, CA 95825-0308 |
| M Nadir Alocozy | Internal Medicine | 2211 Park Towne Cir, Sacramento, CA 95825-0414 | |
| Robert Wayne Hudson | Clinical Psychologist | 2322 Butano Dr, Suite 211, Sacramento, CA 95825-0657 | |
| Mary Huarte | Psychologist, Clinical | 2322 Butano Dr, Suite 109, Sacramento, CA 95825-0687 | |
| Tobin Christopher Gallawa | Podiatry | 2322 Butano Dr, Suite 110, Sacramento, CA 95825-0687 | |
| Dena P Sehr | Clinical Social Worker | 2322 Butano Dr, Suite 109, Sacramento, CA 95825-0687 | |
| Randall Sarte | Podiatry | 2322 Butano Dr, Suite 201, Sacramento, CA 95825-0687 | |
| Martin M Varrial | Clinical Psychologist | 2322 Butano Dr, Suite 109, Sacramento, CA 95825-0687 | |
| Corina E Seashore | Clinical Social Worker | 2701 Cottage Way, Suite 27, Sacramento, CA 95825-1223 | |
| Lance Zimmerman | Podiatry | 1870 Avondale Ave, Suite 1, Sacramento, CA 95825-1388 | |
| Find all physicians in zip 95825 | |||
| City | SACRAMENTO |
| Zip Code | 95825 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | SACRAMENTO + ANESTHESIOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.