Chad Richard Wagner (NPI# 1164602009, PAC ID# 2365732229) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1164602009 |
| PAC ID by PECOS | 2365732229 |
| Professional Enrollment ID | I20160606000237 |
| Full Name | Chad Richard Wagner |
| Address |
115 Southport Rd Suite B Spartanburg SC 29306-3814 |
| Gender | M |
| Medical School | SHERMAN COLLEGE OF STRAIGHT CHIROPRACTIC |
| Graduation Year | 2006 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 115 Southport Rd, Suite B, Spartanburg, SC 29306-3814 |
| Street Address |
115 SOUTHPORT RD SUITE B |
| City | SPARTANBURG |
| State | SC |
| Zip | 29306-3814 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Claire Newman | Nurse Practitioner | Providence House Calls LLC | 115 Southport Rd, Suite J, Spartanburg, SC 29306-3814 |
| Ashley Thomas Ashford | Nurse Practitioner | Providence House Calls LLC | 115 Southport Rd, Suite J, Spartanburg, SC 29306-3814 |
| Jamie Puckett | Nurse Practitioner | Providence House Calls LLC | 115 Southport Rd, Suite J, Spartanburg, SC 29306-3814 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy M Richards | Clinical Social Worker | 175 Magnolia St, Suite 104, Spartanburg, SC 29306-2324 | |
| Sarah Jordan | Podiatry | Carolina Foot Care LLC | 1399 John B White Sr Blvd, Spartanburg, SC 29306-3911 |
| Michael Jordan | Podiatry | Carolina Foot Care LLC | 1399 John B White Sr Blvd, Spartanburg, SC 29306-3911 |
| Clayton L Broome | Chiropractic | 1425 John B White Sr Blvd, Spartanburg, SC 29306-3919 | |
| Rochelle J Delain | Chiropractic | 1425 John B White Sr Blvd, Spartanburg, SC 29306-3919 | |
| Paul Morris | Chiropractic | 1218 John B White Sr Blvd, Suite F, Spartanburg, SC 29306-3920 | |
| Barry R Gorlitsky | Nephrology | Carolina Nephrology Pa | 1410 B John B White Sr Blvd, Spartanburg, SC 29306-3927 |
| Veniamin Y Korikov | Chiropractic | 1230 John B White Sr Blvd, Spartanburg, SC 29306-3929 | |
| Jian Wu | Physician Assistant | Advanced Dermatology of Sc PC | 1250 John B White Sr Blvd, Spartanburg, SC 29306-3929 |
| Heather Putnam Oliver | Nurse Practitioner | Advanced Dermatology of Sc PC | 1250 John B White Sr Blvd, Spartanburg, SC 29306-3929 |
| Find all physicians in zip 29306 | |||
| City | SPARTANBURG |
| Zip Code | 29306 |
| Specialty | CHIROPRACTIC |
| City + Specialty | SPARTANBURG + CHIROPRACTIC |
Please comment or provide details below to improve the information on Chad Richard 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.