Elliott J Wagner
KAN DI KI LLC


Address: 200 E 66th St, Apt C904, New York, NY 10065-0163
Phone: 800786801576145

Elliott J Wagner (NPI# 1558312579, PAC ID# 7416856745) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.

Physician Overview

Nation Provider ID (NPI) 1558312579
PAC ID by PECOS 7416856745
Professional Enrollment ID I20071012000000
Full Name Elliott J Wagner
Organization Legal Name KAN DI KI LLC
Address 200 E 66th St
Apt C904
New York
NY 10065-0163
Phone Number 800786801576145
Gender M
Medical School NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1978
Primary Specialty DIAGNOSTIC RADIOLOGY
Group Practice PAC ID 5991737140
Number of Group Practice Members 3
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
320030 ARTESIA GENERAL HOSPITAL

Other Locations

Address Phone Organization
1000 N Cooper St, Kindred Tarrant County Arlington, Arlington, TX 76011-5540 86621837545002 RAPID RADIOLOGY INC
702 N 13th St, Artesia, NM 88210-1166 5757488000 ARTESIA GENERAL HOSPITAL
3424 Midcourt Rd, Suite 120, Carrollton, TX 75006-5066 800786801576145 KAN DI KI LLC
157 Main St, Charlestown, NH 03603-4914 6038263434 KEADY FAMILY PRACTICE LLC
2544 W Montrose Ave, Chicago, IL 60618-1537 86621837545002 RAPID RADIOLOGY INC
2544 W Montrose Ave, Chicago, IL 60618-1537 7732672622 KND DEVELOPMENT 59 LLC
6130 N Sheridan Rd, Chicago, IL 60660-2830 86621837545002 RAPID RADIOLOGY INC
4929 Burney Dr, Suite 120, Corpus Christi, TX 78411-2714 5126737552 RAPID RADIOLOGY INC
3500 Gaston Ave, Dallas, TX 75246-2017 86621837545002 RAPID RADIOLOGY INC
8050 Meadow Rd, Dallas, TX 75231-3406 86621837545002 RAPID RADIOLOGY INC
9525 Greenville Ave, Dallas, TX 75243-4116 86621837545002 RAPID RADIOLOGY INC
707 S Edwin C Moses Blvd, Dayton, OH 45417-3462 86621837545002 RAPID RADIOLOGY INC
707 S Edwin C Moses Blvd, Dayton, OH 45417-3462 5025967358 KND DEVELOPMENT 59 LLC
7800 Oakmont Blvd, Fort Worth, TX 76132-4203 86621837545002 RAPID RADIOLOGY INC
815 8th Ave, Fort Worth, TX 76104-2609 86621837545002 RAPID RADIOLOGY INC
2990 Legacy Dr, Frisco, TX 75034-6066 86621837545002 RAPID RADIOLOGY INC
2401 S Side Blvd, Greensboro, NC 27406-3311 86621837545002 RAPID RADIOLOGY INC
2401 Southside Blvd, Greensboro, NC 27406-3311 3362712800 KND DEVELOPMENT 59 LLC
2000 Old W Chester Pike, Kindred Havertown, Havertown, PA 19083-2712 86621837545002 RAPID RADIOLOGY INC
2000 Old W Chester Pike, Havertown, PA 19083-2712 6108532572 KND DEVELOPMENT 59 LLC
2930 Siena Heights Dr, Henderson, NV 89052-3871 86621837545002 RAPID RADIOLOGY INC
11297 Fall Brook Dr, Houston, TX 77065-4230 2815171000 KND DEVELOPMENT 59 LLC
11297 Fallbrook Dr, Houston, TX 77065-4230 86621837545002 RAPID RADIOLOGY INC
1800 W 26th St, Kindred The Heights, Houston, TX 77008-1450 86621837545002 RAPID RADIOLOGY INC
205 Hollow Tree Ln, Houston, TX 77090-2801 86621837545002 RAPID RADIOLOGY INC
6441 Main St, Houston, TX 77030-1502 86621837545002 RAPID RADIOLOGY INC
1700 W 10th St, Indianapolis, IN 46222-3802 86621837545002 RAPID RADIOLOGY INC
5144 E Stop 11 Rd, Suite 18, Indianapolis, IN 46237-8606 3616587991 RAPID RADIOLOGY INC
8060 Knue Rd, Indianapolis, IN 46250-1976 86621837545002 RAPID RADIOLOGY INC
1731 N 90th St, Select Kansas City, Kansas City, KS 66112-1515 86621837545002 RAPID RADIOLOGY INC
500 Nw 68th St, Kindred Northland, Kansas City, MO 64118-2455 86621837545002 RAPID RADIOLOGY INC
500 Nw 68th St, Kansas City, MO 64118-2455 8164206300 KND DEVELOPMENT 59 LLC
801 Braxton Pl, Madison, WI 53715-1415 86621837545002 RAPID RADIOLOGY INC
1802 Hwy 157 N, Kindred Mansfield, Mansfield, TX 76063-3923 86621837545002 RAPID RADIOLOGY INC
200 E 66th St, Apt C904, New York, NY 10065-0163 800786801576145 KAN DI KI LLC
550 N Monterey Ave, Ontario, CA 91764-3318 9093910333 KND DEVELOPMENT 59 LLC
4801 E Sam Houston Pkwy S, Kindred Bay Area, Pasadena, TX 77505-3955 86621837545002 RAPID RADIOLOGY INC
6129 Palmetto St, Philadelphia, PA 19111-5729 2157228555 KND DEVELOPMENT 59 LLC
11528 Us Hwy 19, Port Richey, FL 34668-1442 7278682151 S.M.S., D.O., P.A.
9238 Us Hwy 19, Port Richey, FL 34668-4853 7278498491 S.M.S., D.O., P.A.
10841 White Oak Ave, Rancho Cucamonga, CA 91730-3811 9095816400 KND DEVELOPMENT 59 LLC
96 Pkwy, Rochelle Park, NJ 07662-4200 86621837545002 RAPID RADIOLOGY INC
10018 Kennerly Rd Fl, Suite 3, Saint Louis, MO 63128-2106 3145258100 KND DEVELOPMENT 59 LLC
3636 Medical Dr, San Antonio, TX 78229-2183 86621837545002 RAPID RADIOLOGY INC
555 Washington St, San Diego, CA 92103-2289 8662183754 RAPID RADIOLOGY INC
1630 E Primrose St, Select Sprinfield Mo, Springfield, MO 65804-7929 86621837545002 RAPID RADIOLOGY INC
3827 S Timbercreek Ave B, Springfield, MO 65807-5685 8662183754 RAPID RADIOLOGY INC
1550 1st Colony Blvd, Sugar Land, TX 77479-4000 86621837545002 RAPID RADIOLOGY INC
1550 1st Colony Blvd, Sugar Land, TX 77479-4000 2812756000 KND DEVELOPMENT 59 LLC
225 Edward St, Sycamore, IL 60178-2137 8158952144 KND DEVELOPMENT 59 LLC
505 Graham Dr, Tomball, TX 77375-3368 86621837545002 RAPID RADIOLOGY INC
350 Blossom St, Webster, TX 77598-4206 86621837545002 RAPID RADIOLOGY INC

Organization Information

Organization Legal Name KAN DI KI LLC
Physicians 1

Office Location

Street Address 200 E 66TH ST
APT C904
City NEW YORK
State NY
Zip 10065-0163

Physicians in the same location

Name Specialty Organization Address
Gregory S Timm Diagnostic Radiology Renaissance Imaging Medical Associates Inc 200 E 66th St, Apt C904, New York, NY 10065-0163

Physicians in the same zip code

Name Specialty Organization Address
Harvey H Jay Dermatology 45 E 62 St, New York, NY 10065
Vincent W Ng Internal Medicine Weill Medical College of Cornell 1300 York Ave, New York, NY 10065-4805
Jacqueline Topol Registered Dietitian Or Nutrition Professional Weill Medical College of Cornell 1300 York Ave, New York, NY 10065-4805
Mary E Charlson Internal Medicine Weill Medical College of Cornell 1300 York Ave, New York, NY 10065-4805
Pamela Charney Internal Medicine Weill Medical College of Cornell 1300 York Ave, New York, NY 10065-4805
Priscilla Nelson Anesthesiology Weill Medical College of Cornell 525 E 68th St, Suite 585, New York, NY 10065-4870
Edyta C Pirog Pathology Weill Medical College of Cornell 575 E 68th St, New York, NY 10065-4870
Pamela J Tieu Internal Medicine Weill Medical College of Cornell 525 E 68th St, New York, NY 10065-4870
Maya Hogg Internal Medicine Weill Medical College of Cornell 525 E 68th St, New York, NY 10065-4870
Nathan Wei-jim Liu Anesthesiology Weill Medical College of Cornell 525 E 68th St, Suite 585, New York, NY 10065-4870
Find all physicians in zip 10065

Competitor

Search similar physicians

City NEW YORK
Zip Code 10065
Specialty DIAGNOSTIC RADIOLOGY
City + Specialty NEW YORK + DIAGNOSTIC RADIOLOGY

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Dataset Information

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.

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