Michael R Wagner (NPI# 1437147683, PAC ID# 5496804502) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1437147683 |
| PAC ID by PECOS | 5496804502 |
| Professional Enrollment ID | I20100421000812 |
| Full Name | Michael R Wagner |
| Organization Legal Name | ASCENSION ST JOSEPH HOSPITAL |
| Address |
25 E M 55 Ascension St Joseph Hospital Women' Tawas City MI 48763-9362 |
| Gender | M |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9638070766 |
| Number of Group Practice Members | 34 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230100 | TAWAS ST JOSEPH HOSPITAL |
| 230227 | MCLAREN MACOMB |
| 100127 | MORTON PLANT HOSPITAL |
| 231305 | SAINT MARY'S STANDISH COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 25 E M, 55 Ascension St Joseph Hospital Women', Tawas City, MI 48763-9362 | ASCENSION ST JOSEPH HOSPITAL |
| Organization Legal Name | ASCENSION ST JOSEPH HOSPITAL |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda M Jacques | Nurse Practitioner | Ascension St Joseph Hospital | 3210 E Huron Rd, Ascension St Joseph Hospital Augres, Au Gres, MI 48703-9322 |
| Gregory A Bohn | General Surgery | Ascension St Joseph Hospital | 295 Maple St, Suite 201, Tawas City, MI 48763-9352 |
| Sarah D Woods | Nurse Practitioner | Ascension St Joseph Hospital | 325 E M 55 B, Ascension St Joseph Hospital Huron, Tawas City, MI 48763-8211 |
| Shannon M Michaud | Nurse Practitioner | Ascension St Joseph Hospital | 116 S Church St, Ascension St Joseph Hospital Hale M, Hale, MI 48739-9272 |
| Robert L Donnell | Medical Oncology | Ascension St Joseph Hospital | 110 Beech St, Tawas City, MI 48763-8314 |
| Sylvia Boloczko | Family Medicine | Ascension St Joseph Hospital | 25 E M, 55 Ascension St Joseph Hospital Women', Tawas City, MI 48763-9362 |
| Christopher R Landrey | Obstetrics/gynecology | Ascension St Joseph Hospital | 25 E M, 55 Ascension St Joseph Hospital Women', Tawas City, MI 48763-9362 |
| Joel L Pestrue | Physician Assistant | Ascension St Joseph Hospital | 25 E M, 55 Ascension St Joseph Hospital Women', Tawas City, MI 48763-9362 |
| Kenneth A Jordan | Internal Medicine | Ascension St Joseph Hospital | 25 E M, 55 Ascension St Joseph Hospital Women', Tawas City, MI 48763-9362 |
| Erica Kalbfleisch | Nurse Practitioner | Ascension St Joseph Hospital | 25 E M, 55 Ascension St Joseph Hospital Women', Tawas City, MI 48763-9362 |
| Street Address |
25 E M 55 ASCENSION ST JOSEPH HOSPITAL WOMEN' |
| City | TAWAS CITY |
| State | MI |
| Zip | 48763-9362 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sylvia Boloczko | Family Medicine | Ascension St Joseph Hospital | 25 E M, 55 Ascension St Joseph Hospital Women', Tawas City, MI 48763-9362 |
| Christopher R Landrey | Obstetrics/gynecology | Ascension St Joseph Hospital | 25 E M, 55 Ascension St Joseph Hospital Women', Tawas City, MI 48763-9362 |
| Joel L Pestrue | Physician Assistant | Ascension St Joseph Hospital | 25 E M, 55 Ascension St Joseph Hospital Women', Tawas City, MI 48763-9362 |
| Kenneth A Jordan | Internal Medicine | Ascension St Joseph Hospital | 25 E M, 55 Ascension St Joseph Hospital Women', Tawas City, MI 48763-9362 |
| Erica Kalbfleisch | Nurse Practitioner | Ascension St Joseph Hospital | 25 E M, 55 Ascension St Joseph Hospital Women', Tawas City, MI 48763-9362 |
| Christopher J Oravitz | Obstetrics/gynecology | Ascension St Joseph Hospital | 25 E M, 55 Ascension St Joseph Hospital Women', Tawas City, MI 48763-9362 |
| Richard A Meshew | Physician Assistant | Ascension St Joseph Hospital | 25 E M, 55 Ascension St Joseph Hospital Women', Tawas City, MI 48763-9362 |
| Emily L Kloska | Family Medicine | Ascension St Joseph Hospital | 25 E M, 55 Ascension St Joseph Hospital Women', Tawas City, MI 48763-9362 |
| Donald R Ellis | Family Medicine | Ascension St Joseph Hospital | 25 E M, 55 Ascension St Joseph Hospital Women', Tawas City, MI 48763-9362 |
| Elizabeth Myers | Nurse Practitioner | Ascension St Joseph Hospital | 25 E M, 55 Ascension St Joseph Hospital Women', Tawas City, MI 48763-9362 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rod R Wright | Podiatry | 166 M, Suite 55, Tawas City, MI 48763 | |
| Devendra K Sharma | Family Practice | Tawas Bay Family Practice PC | 541 W Lake St, Tawas City, MI 48763-5105 |
| Cheryl A Miller | Nurse Practitioner | Tawas Bay Family Practice PC | 541 W Lake St, Tawas City, MI 48763-5105 |
| Sarah D Woods | Nurse Practitioner | Ascension St Joseph Hospital | 325 E M 55 B, Ascension St Joseph Hospital Huron, Tawas City, MI 48763-8211 |
| Jeffrey Chadwick | Optometry | 325 E M, Suite 55, Tawas City, MI 48763-8211 | |
| Jennifer Tawn Horton | Physician Assistant | Ascension St Joseph Hospital | 325 E M 55 B, Ascension St Joseph Hospital Huron, Tawas City, MI 48763-8211 |
| Glen D Enzenberger | Family Medicine | Ascension St Joseph Hospital | 325 E M 55 B, Ascension St Joseph Hospital Huron, Tawas City, MI 48763-8211 |
| Victoria Mcgillis | Nurse Practitioner | Ascension St Joseph Hospital | 325 E M 55 B, Ascension St Joseph Hospital Huron, Tawas City, MI 48763-8211 |
| Judy E Herbolsheimer | Physician Assistant | Ascension St Joseph Hospital | 325 E M 55 B, Ascension St Joseph Hospital Huron, Tawas City, MI 48763-8211 |
| Dwight H Fiske | Physician Assistant | St Joseph Health System Inc | 325 E M, 55 Suite B, Tawas City, MI 48763-8211 |
| Find all physicians in zip 48763 | |||
| City | TAWAS CITY |
| Zip Code | 48763 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | TAWAS CITY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Michael 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.