Randall P Wagner (NPI# 1609812007, PAC ID# 7214125145) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1609812007 |
| PAC ID by PECOS | 7214125145 |
| Professional Enrollment ID | I20101220000614 |
| Full Name | Randall P Wagner |
| Organization Legal Name | COMMUNITY CLINIC, INC |
| Address |
8630 Fenton St Suite 1200 Silver Spring MD 20910-3808 |
| Phone Number | 3015851250 |
| Gender | M |
| Medical School | VANDERBILT UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | CRITICAL CARE (INTENSIVISTS) |
| Group Practice PAC ID | 6204722614 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 8630 Fenton St, Suite 1200, Silver Spring, MD 20910-3808 | 3015851250 | COMMUNITY CLINIC, INC |
| 8630 Fenton St, Silver Spring, MD 20910-3808 | 3015851250 | COMMUNITY CLINIC, INC |
| Organization Legal Name | COMMUNITY CLINIC, INC |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nan Zhai | Nurse Practitioner | Community Clinic, Inc | 7676 Hampshire Ave, Suite 220, Takoma Park, MD 20912-0000 |
| Parvej Malik | Family Medicine | Community Clinic, Inc | 9220 Springhill Ln, Greenbelt, MD 20770-1203 |
| Lorri Anne Burke | Family Medicine | Community Clinic, Inc | 8630 Fenton St, Silver Spring, MD 20910-3808 |
| Laura Kaplan Weisman | Family Medicine | Community Clinic, Inc | 8630 Fenton St, Silver Spring, MD 20910-3808 |
| Melissa Aviva Clark | Family Medicine | Community Clinic, Inc | 8630 Fenton St, Silver Spring, MD 20910-3808 |
| Rebecca Felsen | Internal Medicine | Community Clinic, Inc | 8630 Fenton St, Silver Spring, MD 20910-3808 |
| Robert A L Blake | Pediatric Medicine | Community Clinic, Inc | 8630 Fenton St, Silver Spring, MD 20910-3808 |
| Milagro C Escobar Bowles | Family Practice | Community Clinic, Inc | 8630 Fenton St, Silver Spring, MD 20910-3808 |
| Susan D Gumpel | Family Practice | Community Clinic, Inc | 8630 Fenton St, Silver Spring, MD 20910-3808 |
| Jennifer K Crawford | Clinical Social Worker | Community Clinic, Inc | 8630 Fenton St, Silver Spring, MD 20910-3808 |
| Street Address |
8630 FENTON ST SUITE 1200 |
| City | SILVER SPRING |
| State | MD |
| Zip | 20910-3808 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arusha Gupta | Ophthalmology | Jonathan S. Lyons, M.d.andthomas H. Yau, M.d.,llc | 8630 Fenton St, Suite 514, Silver Spring, MD 20910-3829 |
| Steven B Wechsler | Clinical Social Worker | Alternative Counseling and Wellness Center, LLC | 8630 Fenton St, Suite 920, Silver Spring, MD 20910-3810 |
| Negassi Kristos Seyoum | Physical Therapy | 8630 Fenton St, Suite 302, Silver Spring, MD 20910-3816 | |
| Lorri Anne Burke | Family Medicine | Community Clinic, Inc | 8630 Fenton St, Silver Spring, MD 20910-3808 |
| Laura Kaplan Weisman | Family Medicine | Community Clinic, Inc | 8630 Fenton St, Silver Spring, MD 20910-3808 |
| George T Conrad | General Surgery | Capitol Surgeons LLC | 8630 Fenton St, Suite 122, Silver Spring, MD 20910-3803 |
| Thomas H Yau | Ophthalmology | Jonathan S. Lyons, M.d.andthomas H. Yau, M.d.,llc | 8630 Fenton St, Suite 514, Silver Spring, MD 20910-3829 |
| Melissa Aviva Clark | Family Medicine | Community Clinic, Inc | 8630 Fenton St, Silver Spring, MD 20910-3808 |
| Robert Paul Friedlaender | Ophthalmology | Jonathan S. Lyons, M.d.andthomas H. Yau, M.d.,llc | 8630 Fenton St, Suite 514, Silver Spring, MD 20910-3829 |
| Joseph Snyder | Ophthalmology | 8630 Fenton St, Suite 608, Silver Spring, MD 20910-3830 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kate Ojeyinka | Nurse Practitioner | 2700 Barker St, Silver Spring, MD 20910-1001 | |
| Alyssa W Michelson | Physician Assistant | Inpatient Consultants of Maryland Singer PC | 2700 Barker St, Silver Spring, MD 20910-1001 |
| Robert Meehan | Internal Medicine | Inpatient Consultants of Maryland Singer PC | 2700 Barker St, Silver Spring, MD 20910-1001 |
| Niveditha Jagalur Manjunatha | Physical Therapy | Physical Therapy Works, P.a. | 10 Post Office Rd, Suite 100, Silver Spring, MD 20910-1103 |
| Kshanila A. Gandhi | Physical Therapy | Physical Therapy Works, P.a. | 10 Post Office Rd, Suite 100, Silver Spring, MD 20910-1103 |
| Neha M Parekh | Physical Therapy | Physical Therapy Works, P.a. | 10 Post Office Rd, Suite 100, Silver Spring, MD 20910-1103 |
| Alexandra Sterling | Physical Therapy | 2555 Holman Ave, Silver Spring, MD 20910-1143 | |
| David M Zwerdling | Psychiatry | 2907 Woodstock Ave, Silver Spring, MD 20910-1249 | |
| Peter James Sabia | Cardiovascular Disease (cardiology) | Associates In Cardiology, P.a. | 2900 Linden Ln, Suite 200, Silver Spring, MD 20910-1266 |
| Steven K Kaufman | Cardiovascular Disease (cardiology) | Kaufman and Zinsmeister, M.d., P.a. | 2900 Linden Ln, Suite 200, Silver Spring, MD 20910-1266 |
| Find all physicians in zip 20910 | |||
| City | SILVER SPRING |
| Zip Code | 20910 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SILVER SPRING + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Randall P 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.