David V Wagner (NPI# 1508836123, PAC ID# 2567454846) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1508836123 |
| PAC ID by PECOS | 2567454846 |
| Professional Enrollment ID | I20070104000334 |
| Full Name | David V Wagner |
| Organization Legal Name | DAVID VAN WAGNER MD PC |
| Address |
801 5th St Sioux City IA 51101-1326 |
| Phone Number | 7122792010 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 7416101563 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160146 | ST LUKES REGIONAL MEDICAL CENTER |
| 161368 | FLOYD VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2730 Pierce St, Suite 204, Sioux City, IA 51104-3764 | 7122348787 | DAVID VAN WAGNER MD PC |
| 801 5th St, Sioux City, IA 51101-1326 | 7122792010 | DAVID VAN WAGNER MD PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | DAVID VAN WAGNER MD PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Colette M Hadden | Qualified Audiologist | David Van Wagner Md PC | 801 5th St, Sioux City, IA 51101-1326 |
| Dwight L Birkley | Physician Assistant | David Van Wagner Md PC | 801 5th St, Sioux City, IA 51101-1326 |
| Street Address |
801 5TH ST |
| City | SIOUX CITY |
| State | IA |
| Zip | 51101-1326 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Minhtriet Luu | Diagnostic Radiology | Radiology Associates PC II | 801 5th St, Sioux City, IA 51101-1326 |
| Courtney J Mayo | Nurse Practitioner | Woodbury Emergency Group, PC | 801 5th St, Sioux City, IA 51101-1326 |
| Kristi J Hansen | Physician Assistant | Mercy Medical Services | 801 5th St, Sioux City, IA 51101-1326 |
| John A Heckathorn Ii | Anesthesiology | Mhc Anesthesia Services | 801 5th St, Sioux City, IA 51101-1326 |
| David S Chua | Nephrology | Liem Som Oei Md PC | 801 5th St, Sioux City, IA 51101-1326 |
| Joseph Costa | Anesthesiology | Mhc Anesthesia Services | 801 5th St, Sioux City, IA 51101-1326 |
| Sharon K Fey | Physician Assistant | Liem Som Oei Md PC | 801 5th St, Sioux City, IA 51101-1326 |
| Jesse G Scott | Certified Registered Nurse Anesthetist (crna) | Mhc Anesthesia Services | 801 5th St, Sioux City, IA 51101-1326 |
| Daniela D Ferrell | Nurse Practitioner | Mercy Medical Services | 801 5th St, Sioux City, IA 51101-1326 |
| James H Ellis | Emergency Medicine | Woodbury Emergency Group, PC | 801 5th St, Sioux City, IA 51101-1326 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael G Bargstadt | Physical Therapy | Physical Therapy Specialists PC | 915 Pierce St, Sioux City, IA 51101-1031 |
| Patrick S Cross | Physical Therapy | Physical Therapy Specialists PC | 915 Pierce St, Sioux City, IA 51101-1031 |
| Timothy M Saulsbury | Physical Therapy | Physical Therapy Specialists PC | 915 Pierce St, Sioux City, IA 51101-1031 |
| Jeanne E Jones | Physical Therapy | Physical Therapy Specialists PC | 915 Pierce St, Sioux City, IA 51101-1031 |
| Kevin G Poss | Physical Therapy | Physical Therapy Specialists PC | 915 Pierce St, Sioux City, IA 51101-1031 |
| Katharine J Vlach | Physical Therapy | Physical Therapy Specialists PC | 915 Pierce St, Sioux City, IA 51101-1031 |
| Grace K Herbold | Physical Therapy | Physical Therapy Specialists PC | 915 Pierce St, Sioux City, IA 51101-1031 |
| Meghan R Nelson | Physical Therapy | Physical Therapy Specialists PC | 915 Pierce St, Sioux City, IA 51101-1031 |
| Theresa L Hey | Clinical Social Worker | Counseling and Support Services Inc | 421 Nebraska St, Sioux City, IA 51101-1311 |
| Tonya M Meier | Clinical Social Worker | Counseling and Support Services Inc | 421 Nebraska St, Sioux City, IA 51101-1311 |
| Find all physicians in zip 51101 | |||
| City | SIOUX CITY |
| Zip Code | 51101 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | SIOUX CITY + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on David V 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.