Matthew S Wagner (NPI# 1790166445, PAC ID# 0840504957) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1790166445 |
| PAC ID by PECOS | 0840504957 |
| Professional Enrollment ID | I20181019000294 |
| Full Name | Matthew S Wagner |
| Organization Legal Name | ARKANSAS HEALTH GROUP |
| Address |
1701 Club Manor Dr Suite 2b Maumelle AR 72113-7401 |
| Phone Number | 5018517402 |
| Gender | M |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7911802079 |
| Number of Group Practice Members | 415 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 041312 | BAPTIST HEALTH MEDICAL CENTER HEBER SPINGS |
| 040014 | WHITE COUNTY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1701 Club Manor Dr, Suite 2b, Maumelle, AR 72113-7401 | 5018517402 | ARKANSAS HEALTH GROUP |
| Organization Legal Name | ARKANSAS HEALTH GROUP |
| Physicians | 388 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Zachary Ottis | Family Medicine | Arkansas Health Group | 3201 Springhill Drive, 300 Baptist Health Family Medicine Residency Clinic No, North Little Rock, AR 72117-2909 |
| David G Jaskey | Obstetrics/gynecology | Arkansas Health Group | 2915 Cypress Rd, Suite D, Arkadelphia, AR 71923-4243 |
| Kanishk Agnihotri | Internal Medicine | Arkansas Health Group | 1701 Club Manor Dr, Suite 200, Maumelle, AR 72113-7400 |
| Chelsea J Bounds | Nurse Practitioner | Arkansas Health Group | 353 Cash Rd Sw, Camden, AR 71701-3704 |
| Rainie R Jones | Nurse Practitioner | Arkansas Health Group | 518 N Fourch Ave, Perryville, AR 72126-9701 |
| Dustin K Hoover | Family Medicine | Arkansas Health Group | 205 Westport Dr, 1 Baptist Health Family Clinic Cabot, Cabot, AR 72023-3657 |
| Michael P Carson | Family Medicine | Arkansas Health Group | 605 United Dr, Conway, AR 72032-7826 |
| David R Sosnoff | Gastroenterology | Arkansas Health Group | 1555 Exchange Ave, Bh Interventional Pulmonology and C, Conway, AR 72032-7824 |
| Benjamin W Mizell | Certified Registered Nurse Anesthetist (crna) | Arkansas Health Group | 2319 Hwy 110 W, Heber Springs, AR 72543-3442 |
| Chelsea E Griffith | Nurse Practitioner | Arkansas Health Group | 4411 Hwy 5 N, Bryant, AR 72022-7005 |
| Street Address |
1701 CLUB MANOR DR SUITE 2B |
| City | MAUMELLE |
| State | AR |
| Zip | 72113-7401 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kanishk Agnihotri | Internal Medicine | Arkansas Health Group | 1701 Club Manor Dr, Suite 200, Maumelle, AR 72113-7400 |
| Timothy T Dietrich | Internal Medicine | Arkansas Health Group | 1701 Club Manor Dr, Suite 2b, Maumelle, AR 72113-7401 |
| Mitchell B Jenkins | Internal Medicine | Arkansas Health Group | 1701 Club Manor Dr, Suite 2b, Maumelle, AR 72113-7401 |
| Priyantha N Wijewardane | Internal Medicine | Arkansas Health Group | 1701 Club Manor Dr, Suite 2b, Maumelle, AR 72113-7401 |
| Laura J Farley | Nurse Practitioner | Arkansas Health Group | 1701 Club Manor Dr, Suite 2, Maumelle, AR 72113-7401 |
| Brett A Morris | Nurse Practitioner | Arkansas Health Group | 1701 Club Manor Dr, Suite 2b, Maumelle, AR 72113-7401 |
| Audie R Aderholt Iii | Internal Medicine | Arkansas Health Group | 1701 Club Manor Dr, Suite 2b, Maumelle, AR 72113-7401 |
| Carl L Johnson | Internal Medicine | Arkansas Health Group | 1701 Club Manor Dr, Suite 2b, Maumelle, AR 72113-7401 |
| Mohammad O A Alshoha | Internal Medicine | Arkansas Health Group | 1701 Club Manor Dr, Suite 2b, Maumelle, AR 72113-7401 |
| Muhammad R Nazir | Internal Medicine | Arkansas Health Group | 1701 Club Manor Dr, Suite 2b, Maumelle, AR 72113-7401 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Sanders | Nurse Practitioner | Urgent Team of Arkansas Physicians LLC | 123 Audubon Dr, Suite 500, Maumelle, AR 72113-5505 |
| Kerry R Cook | Nurse Practitioner | Urgent Team of Arkansas Physicians LLC | 123 Audubon Dr, Suite 500, Maumelle, AR 72113-5505 |
| Kimberly G Tanner | Nurse Practitioner | Urgent Team of Arkansas Physicians LLC | 123 Audubon Dr, Suite 600, Maumelle, AR 72113-5506 |
| Lauren Leeann Mathews | Nurse Practitioner | Urgent Team of Arkansas Physicians LLC | 123 Audubon Dr, Suite 600, Maumelle, AR 72113-5506 |
| Allison E Doss | Nurse Practitioner | Urgent Team of Arkansas Physicians LLC | 123 Audubon Dr, Suite 600, Maumelle, AR 72113-5506 |
| William Alan Walker | Nurse Practitioner | Urgent Team of Arkansas Physicians LLC | 123 Audubon Dr, Suite 600, Maumelle, AR 72113-5506 |
| Sarah Joy Cook | Nurse Practitioner | Urgent Team of Arkansas Physicians LLC | 123 Audubon Dr, Suite 600, Maumelle, AR 72113-5506 |
| Amanda Stark | Nurse Practitioner | Urgent Team of Arkansas Physicians LLC | 123 Audubon Dr, Suite 600, Maumelle, AR 72113-5506 |
| Chelsea Lauren Havelka | Nurse Practitioner | Urgent Team of Arkansas Physicians LLC | 123 Audubon Dr, Suite 600, Maumelle, AR 72113-5506 |
| Joel David Larru | Nurse Practitioner | Urgent Team of Arkansas Physicians LLC | 123 Audubon Dr, Suite 600, Maumelle, AR 72113-5506 |
| Find all physicians in zip 72113 | |||
| City | MAUMELLE |
| Zip Code | 72113 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MAUMELLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Matthew S Wagner.
| 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.