Daniel R Wagner (NPI# 1992751036, PAC ID# 4587733407) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1992751036 |
| PAC ID by PECOS | 4587733407 |
| Professional Enrollment ID | I20080519000548 |
| Full Name | Daniel R Wagner |
| Address |
11188 Tesson Ferry Rd Suite 202 Saint Louis MO 63123-6962 |
| Phone Number | 3147297547 |
| Gender | M |
| Graduation Year | 1974 |
| Primary Specialty | NEUROLOGY |
| Secondary Specialties | SLEEP MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260077 | ST ANTHONY'S MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 11188 Tesson Ferry Rd, Suite 202, Saint Louis, MO 63123-6962 | 3147297547 |
| Street Address |
11188 TESSON FERRY RD SUITE 202 |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63123-6962 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shirley Joo | Allergy/immunology | 11188 Tesson Ferry Rd, Suite 101, Saint Louis, MO 63123-6962 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael B Stotler | Psychiatry | 5500 Heege Rd, Affton, MO 63123-3505 | |
| William J Schatt Iii | Chiropractic | 9428 Gravois Rd, Saint Louis, MO 63123-4530 | |
| Eric William Werner | Chiropractic | 8000 Gravois Rd, Saint Louis, MO 63123-4721 | |
| Julie A Kreidler | Chiropractic | 9785 Mackenzie Rd, Suite 100, Saint Louis, MO 63123-5438 | |
| Lauren Cantrell | Chiropractic | 4918 Weber Rd, Saint Louis, MO 63123-5645 | |
| Michael J Fiscella | Chiropractic | 4918 Weber Rd, Saint Louis, MO 63123-5645 | |
| Bassam Ar Hadi | Neurosurgery | St Anthony's Physician Organization | 5425 Southfield Ctr, Saint Louis, MO 63123-5984 |
| Andrew M Grabowski | Family Medicine | St Anthony's Physician Organization | 5425 Southfield Ctr, Saint Louis, MO 63123-5984 |
| Shaun Donegan | Medical Oncology | St Anthony's Physician Organization | 5425 Southfield Ctr, Saint Louis, MO 63123-5984 |
| Perini Shah | Family Medicine | St Anthony's Physician Organization | 5425 Southfield Ctr, Saint Louis, MO 63123-5984 |
| Find all physicians in zip 63123 | |||
| City | SAINT LOUIS |
| Zip Code | 63123 |
| Specialty | NEUROLOGY |
| City + Specialty | SAINT LOUIS + NEUROLOGY |
Please comment or provide details below to improve the information on Daniel R 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.