Leonard Y Wagner (NPI# 1568457778, PAC ID# 4688692064) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1568457778 |
| PAC ID by PECOS | 4688692064 |
| Professional Enrollment ID | I20051103000904 |
| Full Name | Leonard Y Wagner |
| Organization Legal Name | MERCY SPECIALIST PHYSICIANS, INC |
| Address |
401 Chestnut St Suite 1 Springfield MA 01104-3404 |
| Phone Number | 4137378328 |
| Gender | M |
| Credential | MD |
| Medical School | STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE |
| Graduation Year | 1977 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Secondary Specialties | HAND SURGERY |
| Group Practice PAC ID | 4688721970 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220066 | MERCY MEDICAL CTR |
| Address | Phone | Organization |
|---|---|---|
| 401 Chestnut St, Suite 1, Springfield, MA 01104-3404 | 4137378328 | MERCY SPECIALIST PHYSICIANS, INC |
| Organization Legal Name | MERCY SPECIALIST PHYSICIANS, INC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Natasha M Mckay | Neurosurgery | Mercy Specialist Physicians, Inc | 401 Chestnut St, Suite 1, Springfield, MA 01104-3404 |
| Katherine Anne Krauskopf | Internal Medicine | Mercy Specialist Physicians, Inc | 1233 Main St, Holyoke, MA 01040-5381 |
| Frederik A Pennings | Neurosurgery | Mercy Specialist Physicians, Inc | 175 Carew St, Suite 300, Springfield, MA 01104-2478 |
| Stephanie Lepage | Physician Assistant | Mercy Specialist Physicians, Inc | 401 Chestnut St, Suite 1, Springfield, MA 01104-3404 |
| Thomas Y Mcdowell | Physician Assistant | Mercy Specialist Physicians, Inc | 401 Chestnut St, Suite 1, Springfield, MA 01104-3404 |
| Michael T Bennett | Physician Assistant | Mercy Specialist Physicians, Inc | 401 Chestnut St, Suite 1, Springfield, MA 01104-3404 |
| Kamal Kalia | Neurosurgery | Mercy Specialist Physicians, Inc | 401 Chestnut St, Suite 1, Springfield, MA 01104-3404 |
| Christopher H Comey | Neurosurgery | Mercy Specialist Physicians, Inc | 401 Chestnut St, Suite 1, Springfield, MA 01104-3404 |
| Heather M Roose | Physician Assistant | Mercy Specialist Physicians, Inc | 401 Chestnut St, Suite 1, Springfield, MA 01104-3404 |
| Robert J Roose | Addiction Medicine | Mercy Specialist Physicians, Inc | 1233 Main St, Holyoke, MA 01040-5381 |
| Street Address |
401 CHESTNUT ST SUITE 1 |
| City | SPRINGFIELD |
| State | MA |
| Zip | 01104-3404 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Natasha M Mckay | Neurosurgery | Mercy Specialist Physicians, Inc | 401 Chestnut St, Suite 1, Springfield, MA 01104-3404 |
| Stephanie Lepage | Physician Assistant | Mercy Specialist Physicians, Inc | 401 Chestnut St, Suite 1, Springfield, MA 01104-3404 |
| Thomas Y Mcdowell | Physician Assistant | Mercy Specialist Physicians, Inc | 401 Chestnut St, Suite 1, Springfield, MA 01104-3404 |
| Michael T Bennett | Physician Assistant | Mercy Specialist Physicians, Inc | 401 Chestnut St, Suite 1, Springfield, MA 01104-3404 |
| Kamal Kalia | Neurosurgery | Mercy Specialist Physicians, Inc | 401 Chestnut St, Suite 1, Springfield, MA 01104-3404 |
| Christopher H Comey | Neurosurgery | Mercy Specialist Physicians, Inc | 401 Chestnut St, Suite 1, Springfield, MA 01104-3404 |
| Heather M Roose | Physician Assistant | Mercy Specialist Physicians, Inc | 401 Chestnut St, Suite 1, Springfield, MA 01104-3404 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rodney B Thomas | Chiropractic | 770 Carew St, Springfield, MA 01104-1948 | |
| Luis A Moral | Pathology | New England Pathology Associates PC | 299 Carew St, Springfield, MA 01104-2301 |
| Thomas J Moran | Obstetrics/gynecology | Fitzpatrick Moran Costa and Haag-rickert LLP | 299 Carew St, Suite 215, Springfield, MA 01104-2301 |
| Colette A Haag Rickert | Obstetrics/gynecology | Fitzpatrick Moran Costa and Haag-rickert LLP | 299 Carew St, Suite 215, Springfield, MA 01104-2301 |
| Maria Antonia Gorgan | Pathology | New England Pathology Associates PC | 299 Carew St, Springfield, MA 01104-2301 |
| Sandy Zhuo Liu | Pathology | New England Pathology Associates PC | 299 Carew St, Springfield, MA 01104-2301 |
| Jeffrey Sussman | Pathology | New England Pathology Associates PC | 299 Carew St, Springfield, MA 01104-2301 |
| Robert A Goulart | Pathology | New England Pathology Associates PC | 299 Carew St, Springfield, MA 01104-2301 |
| Robert K Costa | Obstetrics/gynecology | Fitzpatrick Moran Costa and Haag-rickert LLP | 299 Carew St, Suite 215, Springfield, MA 01104-2301 |
| Martin E Bur | Pathology | New England Pathology Associates PC | 299 Carew St, Springfield, MA 01104-2301 |
| Find all physicians in zip 01104 | |||
| City | SPRINGFIELD |
| Zip Code | 01104 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | SPRINGFIELD + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Leonard Y 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.