Mitchell S Wagner (NPI# 1447330741, PAC ID# 2668430588) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1447330741 |
| PAC ID by PECOS | 2668430588 |
| Professional Enrollment ID | I20041223000235 |
| Full Name | Mitchell S Wagner |
| Organization Legal Name | COMMUNITY HOSPITAL ASSOCIATION, INC. |
| Address |
520 Rose Ln Wickenburg AZ 85390-1447 |
| Phone Number | 9286845421 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 4981688900 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 031300 | WICKENBURG COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 520 Rose Ln, Wickenburg, AZ 85390-1447 | 9286845421 | COMMUNITY HOSPITAL ASSOCIATION, INC. |
| Organization Legal Name | COMMUNITY HOSPITAL ASSOCIATION, INC. |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy J Bramwell | Family Medicine | Community Hospital Association, Inc. | 520 Rose Ln, Wickenburg, AZ 85390-1447 |
| Zachary Pavlichek | Physical Therapy | Community Hospital Association, Inc. | 520 Rose Ln, Wickenburg, AZ 85390-1447 |
| Dennis A Barraco | Emergency Medicine | Community Hospital Association, Inc. | 520 Rose Ln, Wickenburg, AZ 85390-1447 |
| Jena Marie Savage | Physician Assistant | Community Hospital Association, Inc. | 520 Rose Ln, Wickenburg, AZ 85390-1447 |
| Blair L Funk | Family Medicine | Community Hospital Association, Inc. | 520 Rose Ln, Wickenburg, AZ 85390-1447 |
| Todd Michael Kravetz | Internal Medicine | Community Hospital Association, Inc. | 520 Rose Ln, Wickenburg, AZ 85390-1447 |
| Nancy B Carter | Physician Assistant | Community Hospital Association, Inc. | 520 Rose Ln, Wickenburg, AZ 85390-1447 |
| Laura Rochelle Meaney | Certified Registered Nurse Anesthetist (crna) | Community Hospital Association, Inc. | 520 Rose Ln, Wickenburg, AZ 85390-1447 |
| Juan Angel Vasquez | Internal Medicine | Community Hospital Association, Inc. | 520 Rose Ln, Wickenburg, AZ 85390-1447 |
| Amie E Boucher | Nurse Practitioner | Community Hospital Association, Inc. | 520 Rose Ln, Wickenburg, AZ 85390-1447 |
| Street Address |
520 ROSE LN |
| City | WICKENBURG |
| State | AZ |
| Zip | 85390-1447 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy J Bramwell | Family Medicine | Community Hospital Association, Inc. | 520 Rose Ln, Wickenburg, AZ 85390-1447 |
| Zachary Pavlichek | Physical Therapy | Community Hospital Association, Inc. | 520 Rose Ln, Wickenburg, AZ 85390-1447 |
| Arshwinder S Sohi | Internal Medicine | 520 Rose Ln, Wickenburg, AZ 85390-1447 | |
| Kirby Farnsworth | Emergency Medicine | Rural Physicians Group Pannu Pllc | 520 Rose Ln, Wickenburg, AZ 85390-1447 |
| Dennis A Barraco | Emergency Medicine | Community Hospital Association, Inc. | 520 Rose Ln, Wickenburg, AZ 85390-1447 |
| Jena Marie Savage | Physician Assistant | Community Hospital Association, Inc. | 520 Rose Ln, Wickenburg, AZ 85390-1447 |
| Blair L Funk | Family Medicine | Community Hospital Association, Inc. | 520 Rose Ln, Wickenburg, AZ 85390-1447 |
| Saranya Wongchai | Hospitalist | Rural Physicians Group Pannu Pllc | 520 Rose Ln, Wickenburg, AZ 85390-1447 |
| Todd Michael Kravetz | Internal Medicine | Community Hospital Association, Inc. | 520 Rose Ln, Wickenburg, AZ 85390-1447 |
| Nancy B Carter | Physician Assistant | Community Hospital Association, Inc. | 520 Rose Ln, Wickenburg, AZ 85390-1447 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marianne Ludwig | Chiropractic | 2000 W Wickenburg Way, Suite 300, Wickenburg, AZ 85390-1028 | |
| Janell Marie Hays | Physical Therapy | Champion Physical Therapy LLC | 2000 W Wickenburg Way, Suite 200, Wickenburg, AZ 85390-1074 |
| Edward R Flamand | Physical Therapy | Champion Physical Therapy LLC | 2000 W Wickenburg Way, Suite 200, Wickenburg, AZ 85390-1074 |
| Steven T Sorensen | Physical Therapy | Champion Physical Therapy LLC | 2000 W Wickenburg Way, Suite 200, Wickenburg, AZ 85390-1074 |
| Laura Rochelle Meaney | Certified Registered Nurse Anesthetist (crna) | Community Hospital Association, Inc. | 520 Rose Ln, Wickenburg, AZ 85390-1447 |
| Fadi Makdsi | Hospitalist | Rural Physicians Group Pannu Pllc | 520 Rose Ln, Wickenburg, AZ 85390-1447 |
| Juan Angel Vasquez | Internal Medicine | Community Hospital Association, Inc. | 520 Rose Ln, Wickenburg, AZ 85390-1447 |
| Amie E Boucher | Nurse Practitioner | Community Hospital Association, Inc. | 520 Rose Ln, Wickenburg, AZ 85390-1447 |
| Lea E Way | Nurse Practitioner | Community Hospital Association, Inc. | 520 Rose Ln, Wickenburg, AZ 85390-1447 |
| Drema Newman | Nurse Practitioner | Community Hospital Association, Inc. | 520 Rose Ln, Wickenburg, AZ 85390-1447 |
| Find all physicians in zip 85390 | |||
| City | WICKENBURG |
| Zip Code | 85390 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | WICKENBURG + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Mitchell S 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.