Jeffrey Wagner (NPI# 1881684207, PAC ID# 2567412059) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ALLERGY/IMMUNOLOGY.
| Nation Provider ID (NPI) | 1881684207 |
| PAC ID by PECOS | 2567412059 |
| Professional Enrollment ID | I20100918000084 |
| Full Name | Jeffrey Wagner |
| Organization Legal Name | ALLERGY PARTNERS PA |
| Address |
296 Oak St Spindale NC 28160-1599 |
| Phone Number | 8282879337 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF PENNSYLVANIA - HAHNEMANN UNIVERSITY |
| Graduation Year | 1986 |
| Primary Specialty | ALLERGY/IMMUNOLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 7113822420 |
| Number of Group Practice Members | 120 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340013 | RUTHERFORD REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 406 A and B Tiffany Park, Gaffney, SC 29341-1262 | 8644880332 | ALLERGY PARTNERS PA |
| 98 Willow Ln, Spartanburg, SC 29307-1357 | 8645855552 | ALLERGY PARTNERS PA |
| 296 Oak St, Spindale, NC 28160-1599 | 8282879337 | ALLERGY PARTNERS PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | ALLERGY PARTNERS PA |
| Physicians | 148 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Renee Richards | Physician Assistant | Allergy Partners Pa | 8012 E 10th St A, Indianapolis, IN 46219-5211 |
| Amanda Jane Reid | Nurse Practitioner | Allergy Partners Pa | 1606 Us Hwy 27 N, Cynthiana, KY 41031-3718 |
| Robert A Sullivan | Allergy/immunology | Allergy Partners Pa | 3619 Old Forest Rd, Lynchburg, VA 24501-2952 |
| Ahmad Hamad | Allergy/immunology | Allergy Partners Pa | 8233 Old Courthouse Rd, Suite 310, Vienna, VA 22182-3816 |
| Shahrooz Shayegan | Allergy/immunology | Allergy Partners Pa | 14520 Avion Pkwy, Suite 150, Chantilly, VA 20151-1114 |
| Jack George Ghably | Allergy/immunology | Allergy Partners Pa | 820 Pinehurst Dr Ne, Rio Rancho, NM 87124-2128 |
| Samata Kamireddy | Allergy/immunology | Allergy Partners Pa | 8485 B Bell Creek Rd, Mechanicsville, VA 23116-3866 |
| Lindsey J Williford | Nurse Practitioner | Allergy Partners Pa | 147 E Main St, Suite 101, Brevard, NC 28712-4619 |
| Chitra Rao Natalie | Allergy/immunology | Allergy Partners Pa | 100 N Curry Pike, Suite 3, Bloomington, IN 47404-2593 |
| Hector Rodriguez Jr. | Allergy/immunology | Allergy Partners Pa | 103 Midlands Ct, West Columbia, SC 29169-3456 |
| Street Address |
296 OAK ST |
| City | SPINDALE |
| State | NC |
| Zip | 28160-1599 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas Michael Labreche | Psychologist, Clinical | 487 W St, Spindale, NC 28160-1357 | |
| Robert S Rash | Chiropractic | 487 W St, Spindale, NC 28160-1357 | |
| Juelena L Todd | Family Medicine | Blue Ridge Community Health Services Inc | 187 W Main St, Spindale, NC 28160-1539 |
| Audra C Cave | Nurse Practitioner | Blue Ridge Community Health Services Inc | 187 W Main St, Spindale, NC 28160-1539 |
| Matthew Allan Roe | Family Medicine | Blue Ridge Community Health Services Inc | 187 W Main St, Spindale, NC 28160-1539 |
| Christi D Jones | Nurse Practitioner | Blue Ridge Community Health Services Inc | 187 W Main St, Spindale, NC 28160-1539 |
| Hayam Kamal Shaker | Family Medicine | Blue Ridge Community Health Services Inc | 187 W Main St, Spindale, NC 28160-1539 |
| Maryshell Brosche B Zaffino | Family Medicine | Blue Ridge Community Health Services Inc | 187 W Main St, Spindale, NC 28160-1539 |
| Laura K Brooks | Physician Assistant | Blue Ridge Community Health Services Inc | 187 W Main St, Spindale, NC 28160-1539 |
| Bryan K Hodge | Family Medicine | Blue Ridge Community Health Services Inc | 187 W Main St, Spindale, NC 28160-1539 |
| Find all physicians in zip 28160 | |||
| City | SPINDALE |
| Zip Code | 28160 |
| Specialty | ALLERGY/IMMUNOLOGY |
| City + Specialty | SPINDALE + ALLERGY/IMMUNOLOGY |
Please comment or provide details below to improve the information on Jeffrey 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.