John S Wagner (NPI# 1346221041, PAC ID# 2860440393) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
Nation Provider ID (NPI) | 1346221041 |
PAC ID by PECOS | 2860440393 |
Professional Enrollment ID | I20050111000486 |
Full Name | John S Wagner |
Organization Legal Name | WAGNER CHIROPRACTIC CENTER |
Address |
3778 Union St Lafayette IN 47905-4453 |
Phone Number | 7654481674 |
Gender | M |
Credential | DC |
Graduation Year | 1976 |
Primary Specialty | CHIROPRACTIC |
Group Practice PAC ID | 8820169709 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | M |
Address | Phone | Organization |
---|---|---|
3778 Union St, Lafayette, IN 47905-4453 | 7654481674 | WAGNER CHIROPRACTIC CENTER |
Organization Legal Name | WAGNER CHIROPRACTIC CENTER |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
David Alan Bowman | Chiropractic | Wagner Chiropractic Center | 3778 Union St, Lafayette, IN 47905-4453 |
Julia Marie Wagner | Chiropractic | Wagner Chiropractic Center | 3778 Union St, Lafayette, IN 47905-4453 |
Street Address |
3778 UNION ST |
City | LAFAYETTE |
State | IN |
Zip | 47905-4453 |
Name | Specialty | Organization | Address |
---|---|---|---|
David Alan Bowman | Chiropractic | Wagner Chiropractic Center | 3778 Union St, Lafayette, IN 47905-4453 |
Julia Marie Wagner | Chiropractic | Wagner Chiropractic Center | 3778 Union St, Lafayette, IN 47905-4453 |
Name | Specialty | Organization | Address |
---|---|---|---|
Melissa Alane Lewis | Optometry | Myeyedr Optometry of Indiana LLC | 100 S Creasy Ln, Suite 1530, Lafayette, IN 47905-0757 |
Melissa A Gwin | Nurse Practitioner | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
Vishal Viswam | Psychiatry | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
Sonia B Yballe | Psychiatry | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
Azubike Nwokedi | Nurse Practitioner | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
Kathleen Jane Halverson | Nurse Practitioner | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
Timothy Poquette | Nurse Practitioner | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
Morgan Amelia Mccormick | Psychiatry | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
Olaniyi O Osuntokun | Psychiatry | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
Katherine M Hafer | Nurse Practitioner | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
Find all physicians in zip 47905 |
City | LAFAYETTE |
Zip Code | 47905 |
Specialty | CHIROPRACTIC |
City + Specialty | LAFAYETTE + CHIROPRACTIC |
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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.