Gary L Wagoner (NPI# 1225034853, PAC ID# 1557542834) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1225034853 |
| PAC ID by PECOS | 1557542834 |
| Professional Enrollment ID | I20110218000779 |
| Full Name | Gary L Wagoner |
| Address |
925 Bishop Walsh Rd Cumberland MD 21502-1845 |
| Gender | M |
| Medical School | WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210027 | WESTERN MARYLAND REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 925 Bishop Walsh Rd, Cumberland, MD 21502-1845 |
| Street Address |
925 BISHOP WALSH RD |
| City | CUMBERLAND |
| State | MD |
| Zip | 21502-1845 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohammad Ali Behnam | Obstetrics/gynecology | 925 Bishop Walsh Rd, Suite 7, Cumberland, MD 21502-1845 | |
| Faith Ann Rodeheaver | Nurse Practitioner | Wonsock Shin Md LLC | 925 Bishop Walsh Rd, Cumberland, MD 21502-1845 |
| Howard Robert Strauss | Oral Surgery | 925 Bishop Walsh Rd, Cumberland, MD 21502-1845 | |
| Wonsock Shin | Internal Medicine | Wonsock Shin Md LLC | 925 Bishop Walsh Rd, Cumberland, MD 21502-1845 |
| Krista D Self | Nurse Practitioner | Wonsock Shin Md LLC | 925 Bishop Walsh Rd, Cumberland, MD 21502-1845 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Ann Riley | Internal Medicine | Western Maryland Health System Corporation | 16 Gulf Memorial Dr, Union Rescue Mission, Cumberland, MD 21502 |
| Leah R Kozlowski | Physician Assistant | Western Maryland Health System Corporation | 16 Gulf Memorial Dr, Union Rescue Mission, Cumberland, MD 21502 |
| David K Moose | Maxillofacial Surgery | Cumberland Oral and Maxillofacial Surgery Associates LLP | 1715 Frederick St, Cumberland, MD 21502-1037 |
| Suketu I Patel | Maxillofacial Surgery | Cumberland Oral and Maxillofacial Surgery Associates LLP | 1715 Frederick St, Cumberland, MD 21502-1037 |
| Kenrick Hamilton Roberts | Dermatology | Mccagh and Roberts Mds Pa | 100 Welton Dr, Cumberland, MD 21502-1336 |
| Daniel Brian Herring | Dermatology | Mccagh and Roberts Mds Pa | 100 Welton Dr, Cumberland, MD 21502-1336 |
| Sean Leo Mccagh | Dermatology | Mccagh and Roberts Mds Pa | 100 Welton Dr, Cumberland, MD 21502-1336 |
| Savannah Brown | Physician Assistant | Mccagh and Roberts Mds Pa | 100 Welton Dr, Cumberland, MD 21502-1336 |
| Kaleigh Hahn | Physician Assistant | Mccagh and Roberts Mds Pa | 100 Welton Dr, Cumberland, MD 21502-1336 |
| Natashia M Vanslyke | Physician Assistant | Mccagh and Roberts Mds Pa | 100 Welton Dr, Cumberland, MD 21502-1336 |
| Find all physicians in zip 21502 | |||
| City | CUMBERLAND |
| Zip Code | 21502 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CUMBERLAND + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Gary L Wagoner.
| 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.