Christopher Phillip Wagner (NPI# 1861786063, PAC ID# 5890042170) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1861786063 |
| PAC ID by PECOS | 5890042170 |
| Professional Enrollment ID | I20190619000863 |
| Full Name | Christopher Phillip Wagner |
| Organization Legal Name | NORTHSIDE RADIOLOGY ASSOCIATES PC |
| Address |
2706 Watson Blvd Suite D Warner Robins GA 31093-8034 |
| Phone Number | 4789536033 |
| Gender | M |
| Medical School | ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY |
| Graduation Year | 2011 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 4486555398 |
| Number of Group Practice Members | 94 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2706 Watson Blvd, Suite D, Warner Robins, GA 31093-8034 | 4789536033 | NORTHSIDE RADIOLOGY ASSOCIATES PC |
| Organization Legal Name | NORTHSIDE RADIOLOGY ASSOCIATES PC |
| Physicians | 97 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mackenzie J King | Nurse Practitioner | Northside Radiology Associates PC | 5445 Meridian Mark Rd, Suite 450, Atlanta, GA 30342 |
| Michael H Smith | Diagnostic Radiology | Northside Radiology Associates PC | 100 Galleria Pkwy, Suite 1450, Atlanta, GA 30339-3195 |
| Clifford Feiner | Diagnostic Radiology | Northside Radiology Associates PC | 100 Mountain View Dr, Suite 200, Cumming, GA 30040-2434 |
| Amy J Figueroa | Diagnostic Radiology | Northside Radiology Associates PC | 3400 C Old Milton Pkwy, Suite 145, Alpharetta, GA 30005-3707 |
| Suzanne S Bressler | Physician Assistant | Northside Radiology Associates PC | 3200 Cobb Galleria Pkwy, Suite 120, Atlanta, GA 30339-5919 |
| Marvin F Pinzon | Diagnostic Radiology | Northside Radiology Associates PC | 2706 Watson Blvd, Suite D, Warner Robins, GA 31093-8034 |
| Travis J Langley | Diagnostic Radiology | Northside Radiology Associates PC | 3400 C Old Milton Pkwy, Suite 145, Alpharetta, GA 30005-3707 |
| Steven G Moss | Diagnostic Radiology | Northside Radiology Associates PC | 3400 C Old Milton Pkwy, Suite 145, Alpharetta, GA 30005-3707 |
| George A Kallianos | Diagnostic Radiology | Northside Radiology Associates PC | 3400 C Old Milton Pkwy, Suite 145, Alpharetta, GA 30005-3707 |
| Praveen Reddy | Diagnostic Radiology | Northside Radiology Associates PC | 3400 C Old Milton Pkwy, Suite 145, Alpharetta, GA 30005-3707 |
| Street Address |
2706 WATSON BLVD SUITE D |
| City | WARNER ROBINS |
| State | GA |
| Zip | 31093-8034 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marvin F Pinzon | Diagnostic Radiology | Northside Radiology Associates PC | 2706 Watson Blvd, Suite D, Warner Robins, GA 31093-8034 |
| Samuel F Cort Jr. | Diagnostic Radiology | Northside Radiology Associates PC | 2706 Watson Blvd, Suite D, Warner Robins, GA 31093-8034 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather Story | Nurse Practitioner | Houston Primary Care Physicians, LLC | 233 N Houston Rd, Suite 140 E, Warner- Robins, GA 31093-1400 |
| Danielle A Andrews | Family Medicine | Houston Primary Care Physicians, LLC | 233 N Houston Rd, Suite 140 E, Warner- Robins, GA 31093-1400 |
| Jovan S Adams | Family Medicine | Houston Primary Care Physicians, LLC | 233 N Houston Rd, Suite 140 E, Warner- Robins, GA 31093-1400 |
| Latoya D Jackson | Family Medicine | Houston Primary Care Physicians, LLC | 233 N Houston Rd, Suite 140 E, Warner- Robins, GA 31093-1400 |
| Christopher Deshawn Watson | Family Medicine | Houston Primary Care Physicians, LLC | 233 N Houston Rd, Suite 140 E, Warner- Robins, GA 31093-1400 |
| Cynthia R Taylor | Nurse Practitioner | Women's Healthcare of Middle Georgia, Inc. | 1025 N Houston Rd, Warner Robins, GA 31093-1505 |
| Alan Gadson Struth | Internal Medicine | 1037 N Houston Rd, Warner Robins, GA 31093-1505 | |
| Manoj H Shah | Obstetrics/gynecology | Physicians for Women, PC | 1021 N Houston Rd, Warner Robins, GA 31093-1505 |
| Malcolm S Moore Jr. | Ophthalmology | Eye Center of Central Georgia, P.C. | 1035 N Houston Rd, Warner Robins, GA 31093-1505 |
| John C Ervin | Ophthalmology | Eye Center of Central Georgia, P.C. | 1035 N Houston Rd, Warner Robins, GA 31093-1505 |
| Find all physicians in zip 31093 | |||
| City | WARNER ROBINS |
| Zip Code | 31093 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | WARNER ROBINS + DIAGNOSTIC RADIOLOGY |
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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.