Stephen Wagstaff (NPI# 1831196849, PAC ID# 0941295141) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1831196849 |
| PAC ID by PECOS | 0941295141 |
| Professional Enrollment ID | I20040416001482 |
| Full Name | Stephen Wagstaff |
| Address |
1363 S Eliseo Dr Suite C Greenbrae CA 94904-2012 |
| Phone Number | 4159251150 |
| Gender | M |
| Credential | DPM |
| Medical School | CALIFORNIA COLLEGE PODIATRIC MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050360 | MARIN GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1363 S Eliseo Dr, Suite C, Greenbrae, CA 94904-2012 | 4159251150 |
| Street Address |
1363 S ELISEO DR SUITE C |
| City | GREENBRAE |
| State | CA |
| Zip | 94904-2012 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Nelson | Hand Surgery | 1363 S Eliseo Dr, Suite B, Green Brea, CA 94904-2012 | |
| Kambridge P Hribar | Otolaryngology | 1363 S Eliseo Dr, Suite A, Greenbrae, CA 94904-2012 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marilyn G Orlova Zitzer | Nurse Practitioner | 250 Bon Air Dr, Greenbrae, CA 94904 | |
| Anthony Michael Sajewicz | Diagnostic Radiology | West Florida Radiology Associates Pa | 31 Corte Lodato, Greenbrae, CA 94904-1225 |
| Chloe A Martin | Psychologist, Clinical | 1030 Sir Francis Drake Blvd, Suite 100, Kentfield, CA 94904-1411 | |
| Monica J Sligh | Nurse Practitioner | Vibra Physicians LLC | 1125 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 |
| Genevieve F Smith | Nurse Practitioner | Vibra Physicians LLC | 1125 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 |
| Aida Calvillo | Internal Medicine | Marin Hospitalist Medical Group, Inc. | 1125 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 |
| Melvin Selinger | Critical Care (intensivists) | Aretaeus Telemedicine Inc. | 1125 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 |
| Robert P Lasser | Psychologist, Clinical | 1125 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 | |
| Francis X Perez | Family Medicine | Marin Hospitalist Medical Group, Inc. | 1125 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 |
| Michael K Vaughan | Family Medicine | Marin Hospitalist Medical Group, Inc. | 1125 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 |
| Find all physicians in zip 94904 | |||
| City | GREENBRAE |
| Zip Code | 94904 |
| Specialty | PODIATRY |
| City + Specialty | GREENBRAE + PODIATRY |
Please comment or provide details below to improve the information on Stephen Wagstaff.
| 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.