J Kent L Wagner (NPI# 1184689648, PAC ID# 3476441031) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1184689648 |
| PAC ID by PECOS | 3476441031 |
| Professional Enrollment ID | I20100315000088 |
| Full Name | J Kent L Wagner |
| Organization Legal Name | LEBANON VALLEY FAMILY MEDICINE INC |
| Address |
10484 Jonestown Rd Annville PA 17003-8434 |
| Phone Number | 7178656647 |
| Gender | M |
| Graduation Year | 1986 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7214825876 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390066 | GOOD SAMARITAN HOSPITAL |
| 390256 | MILTON S HERSHEY MEDICAL CENTER |
| 390067 | PINNACLE HEALTH HOSPITALS |
| Address | Phone | Organization |
|---|---|---|
| 10484 Jonestown Rd, Annville, PA 17003-8434 | 7178656647 | LEBANON VALLEY FAMILY MEDICINE INC |
| Organization Legal Name | LEBANON VALLEY FAMILY MEDICINE INC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lorri M Kercher | Nurse Practitioner | Lebanon Valley Family Medicine Inc | 10484 Jonestown Rd, Annville, PA 17003-8434 |
| John Benson Welch | Family Medicine | Lebanon Valley Family Medicine Inc | 10484 Jonestown Rd, Annville, PA 17003-8434 |
| David A Keller | Family Medicine | Lebanon Valley Family Medicine Inc | 10484 Jonestown Rd, Annville, PA 17003-8434 |
| Jenny S Lee | Family Medicine | Lebanon Valley Family Medicine Inc | 10484 Jonestown Rd, Annville, PA 17003-8434 |
| Ingrid Regina Bakalorz Blubaugh | Family Medicine | Lebanon Valley Family Medicine Inc | 1400 S Forge Rd, Suite 1, Palmyra, PA 17078-9519 |
| John P Welch | Family Medicine | Lebanon Valley Family Medicine Inc | 10484 Jonestown Rd, Annville, PA 17003-8434 |
| Mark W Leach | Family Medicine | Lebanon Valley Family Medicine Inc | 10484 Jonestown Rd, Annville, PA 17003-8434 |
| Ronica A Montagna | Nurse Practitioner | Lebanon Valley Family Medicine Inc | 10484 Jonestown Rd, Annville, PA 17003-8434 |
| Stephanie A Ebersole | Physician Assistant | Lebanon Valley Family Medicine Inc | 1400 S Forge Rd, Suite 1, Palmyra, PA 17078-9519 |
| Amy S Gee | Family Medicine | Lebanon Valley Family Medicine Inc | 10484 Jonestown Rd, Annville, PA 17003-8434 |
| Street Address |
10484 JONESTOWN RD |
| City | ANNVILLE |
| State | PA |
| Zip | 17003-8434 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lorri M Kercher | Nurse Practitioner | Lebanon Valley Family Medicine Inc | 10484 Jonestown Rd, Annville, PA 17003-8434 |
| John Benson Welch | Family Medicine | Lebanon Valley Family Medicine Inc | 10484 Jonestown Rd, Annville, PA 17003-8434 |
| David A Keller | Family Medicine | Lebanon Valley Family Medicine Inc | 10484 Jonestown Rd, Annville, PA 17003-8434 |
| Jenny S Lee | Family Medicine | Lebanon Valley Family Medicine Inc | 10484 Jonestown Rd, Annville, PA 17003-8434 |
| John P Welch | Family Medicine | Lebanon Valley Family Medicine Inc | 10484 Jonestown Rd, Annville, PA 17003-8434 |
| Mark W Leach | Family Medicine | Lebanon Valley Family Medicine Inc | 10484 Jonestown Rd, Annville, PA 17003-8434 |
| Ronica A Montagna | Nurse Practitioner | Lebanon Valley Family Medicine Inc | 10484 Jonestown Rd, Annville, PA 17003-8434 |
| Amy S Gee | Family Medicine | Lebanon Valley Family Medicine Inc | 10484 Jonestown Rd, Annville, PA 17003-8434 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Edward Lehr | Physical Therapy | Lebanon Valley College Physical Therapy and Sports Rehabilitation | 35 W Main St, Annville, PA 17003-1319 |
| Troels Glysing-jensen | Podiatry | Lifecare Podiatry, P.C. | 550 E Main St, Lebanon Valley Home, Annville, PA 17003-1511 |
| Daniel B Gatto Jr. | Chiropractic | Brennan Chiropractic PC | 648 E Main St, Annville, PA 17003-1513 |
| Timothy J Brennan | Chiropractic | Brennan Chiropractic PC | 648 E Main St, Annville, PA 17003-1513 |
| Sasan Salimian | Neurology | Pinnacle Health Medical Services | 1251 E Main St, 3 Pinnaclehealth Neurosurgery and Neurosciences Inst, Annville, PA 17003-1643 |
| Amit N Vora | Cardiovascular Disease (cardiology) | Pinnacle Health Cardiovascular Institute Inc | 1251 E Main St, Suite 3, Annville, PA 17003-1643 |
| Colby Virginia Tomlinson | Nurse Practitioner | Pinnacle Health Medical Services | 1251 E Main St, 3 Pinnaclehealth Endocrinology Associates, Annville, PA 17003-1643 |
| Matthew G Loose | Family Medicine | Pinnacle Health Medical Services | 1251 E Main St, Pinnaclehealth Express, Annville, PA 17003-1643 |
| David M Zielinski | Physician Assistant | Pinnacle Health Medical Services | 1251 E Main St, Annville, PA 17003-1643 |
| Meghan L Edwards | Physician Assistant | Pinnacle Health Medical Services | 1251 E Main St, Annville, PA 17003-1643 |
| Find all physicians in zip 17003 | |||
| City | ANNVILLE |
| Zip Code | 17003 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ANNVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on J Kent L 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.