Craig Wagley (NPI# 1235115833, PAC ID# 6507023496) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
| Nation Provider ID (NPI) | 1235115833 |
| PAC ID by PECOS | 6507023496 |
| Professional Enrollment ID | I20120305000658 |
| Full Name | Craig Wagley |
| Organization Legal Name | MILL CREEK ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES INC |
| Address |
7641 Market St Boardman OH 44512-6010 |
| Phone Number | 3307586757 |
| Gender | M |
| Medical School | CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | MAXILLOFACIAL SURGERY |
| Group Practice PAC ID | 8325205206 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360064 | ST ELIZABETH YOUNGSTOWN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5437 Mahoning Ave, Austintown, OH 44515-2437 | 3307922501 | MILL CREEK ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES INC |
| 7641 Market St, Boardman, OH 44512-6010 | 3307586757 | MILL CREEK ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES INC |
| Organization Legal Name | MILL CREEK ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Leo Billy | Maxillofacial Surgery | Mill Creek Oral and Maxillofacial Surgery Associates Inc | 7641 Market St, Boardman, OH 44512-6010 |
| Street Address |
7641 MARKET ST |
| City | BOARDMAN |
| State | OH |
| Zip | 44512-6010 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Leo Billy | Maxillofacial Surgery | Mill Creek Oral and Maxillofacial Surgery Associates Inc | 7641 Market St, Boardman, OH 44512-6010 |
| Ralph Rothenberg | Rheumatology | Triad Health Services LLC | 7641 Market St, Suite 2, Youngstown, OH 44512-5980 |
| Constantine Economus | Obstetrics/gynecology | 7641 Market St, Suite 3, Youngstown, OH 44512-5980 | |
| Brian David Shannon | Orthopedic Surgery | Triad Health Services LLC | 7641 Market St, Suite 2, Youngstown, OH 44512-5980 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah Louise Sano | Psychologist, Clinical | 7010 S Ave, Suite 5, Boardman, OH 44512 | |
| Charles E Wilkins | Geriatric Medicine | 4214 Market St, Youngstown, OH 44512-1118 | |
| Louis Michael Chiaro | Podiatry | 156 Overhill Rd, Boardman, OH 44512-1455 | |
| Tony T Deramo | Allergy/immunology | 5701 Market St, Youngstown, OH 44512-2603 | |
| Carl Franklin Ansevin | Neurology | 5701 Market St, Suite 101, Boardman, OH 44512-2603 | |
| Mary Newell Waller | Psychologist, Clinical | 5500 Market St, Suite 90, Youngstown, OH 44512-2616 | |
| Katharine Williams | Psychologist, Clinical | 5500 Market St, Suite 205, Boardman, OH 44512-2624 | |
| Patrick R Ranalli | Physical Therapy | 5500 Market St, Suite 127, Youngstown, OH 44512-2625 | |
| Christine L Fullerman | Audiologist | Youngstown Hearing and Speech Center | 6614 Southern Blvd, Youngstown, OH 44512-3455 |
| Andrew J Meyer | Anesthesiology | Children's Hospital Medical Center of Akron | 6505 Market St, Boardman, OH 44512-3457 |
| Find all physicians in zip 44512 | |||
| City | BOARDMAN |
| Zip Code | 44512 |
| Specialty | MAXILLOFACIAL SURGERY |
| City + Specialty | BOARDMAN + MAXILLOFACIAL SURGERY |
Please comment or provide details below to improve the information on Craig Wagley.
| 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.