Stephen R Wagner Iv (NPI# 1063524387, PAC ID# 7719987072) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1063524387 |
| PAC ID by PECOS | 7719987072 |
| Professional Enrollment ID | I20070110000420 |
| Full Name | Stephen R Wagner Iv |
| Organization Legal Name | ASSOCIATED ANESTHESIOLOGISTS PA |
| Address |
333 Smith Ave N Saint Paul MN 55102-2344 |
| Phone Number | 6122629000 |
| Gender | M |
| Credential | MD |
| Medical School | STANFORD UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 1052224888 |
| Number of Group Practice Members | 59 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240038 | ALLINA UNITED HOSPITAL |
| 240213 | HEALTHEAST WOODWINDS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 7632366786 | METROPOLITAN ANESTHESIA NETWORK LLP |
| 7400 France S Ave, Edina, MN 55435-4738 | NURA PA | |
| 2104 Northdale Nwblvd, Suite 220, Minneapolis, MN 55433-3046 | 7635376000 | NURA PA |
| 1575 Beam Ave, Saint Paul, MN 55109-1126 | 6512327565 | ASSOCIATED ANESTHESIOLOGISTS PA |
| 1925 Woodwinds Dr, Saint Paul, MN 55125-4445 | 6512321100 | ASSOCIATED ANESTHESIOLOGISTS PA |
| 310 Smith Ave N, Saint Paul, MN 55102-2393 | 6122629000 | ASSOCIATED ANESTHESIOLOGISTS PA |
| 333 Smith Ave N, Saint Paul, MN 55102-2344 | 6122629000 | ASSOCIATED ANESTHESIOLOGISTS PA |
| 333 Smith Ave N, Saint Paul, MN 55102-2344 | 6512418000 | METROPOLITAN ANESTHESIA NETWORK LLP |
| Organization Legal Name | ASSOCIATED ANESTHESIOLOGISTS PA |
| Physicians | 67 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Reid A Martinson | Anesthesiology | Associated Anesthesiologists Pa | 69 Exchange St W, Saint Paul, MN 55102-1004 |
| Thomas P Laberge | Anesthesiology | Associated Anesthesiologists Pa | 333 Smith Ave N, Saint Paul, MN 55102-2344 |
| Mark T Destache | Anesthesiology | Associated Anesthesiologists Pa | 333 Smith Ave N, Saint Paul, MN 55102-2344 |
| Heather C Wurm | Anesthesiology | Associated Anesthesiologists Pa | 333 Smith Ave N, Saint Paul, MN 55102-2344 |
| Jennifer L Sturm | Certified Registered Nurse Anesthetist (crna) | Associated Anesthesiologists Pa | 333 Smith Ave N, Saint Paul, MN 55102-2344 |
| Faisal M Choudhry | Anesthesiology | Associated Anesthesiologists Pa | 69 Exchange St W, Saint Paul, MN 55102-1004 |
| Thomas Christopher Sanneman | Anesthesiology | Associated Anesthesiologists Pa | 69 Exchange St W, Saint Paul, MN 55102-1004 |
| Kevin G Spaeth | Anesthesiology | Associated Anesthesiologists Pa | 333 Smith Ave N, Saint Paul, MN 55102-2344 |
| Lisa M Saunders | Certified Registered Nurse Anesthetist (crna) | Associated Anesthesiologists Pa | 333 Smith Ave N, Saint Paul, MN 55102-2344 |
| Hoyt W Nye | Anesthesiology | Associated Anesthesiologists Pa | 333 Smith Ave N, Saint Paul, MN 55102-2344 |
| Street Address |
333 SMITH AVE N |
| City | SAINT PAUL |
| State | MN |
| Zip | 55102-2344 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janet Leslie Grayson | Internal Medicine | Allina Health System | 333 Smith Ave N, Saint Paul, MN 55102-2344 |
| Jean J Jasienski | Certified Registered Nurse Anesthetist (crna) | Metropolitan Anesthesia Network LLP | 333 Smith Ave N, Saint Paul, MN 55102-2344 |
| Todd A Shea | Podiatry | Allina Health System | 333 Smith Ave N, Saint Paul, MN 55102-2344 |
| Neil P Phelan | Internal Medicine | Minnesota Gastroenterology Pa | 333 Smith Ave N, Saint Paul, MN 55102-2344 |
| Thomas P Laberge | Anesthesiology | Associated Anesthesiologists Pa | 333 Smith Ave N, Saint Paul, MN 55102-2344 |
| Mark T Destache | Anesthesiology | Associated Anesthesiologists Pa | 333 Smith Ave N, Saint Paul, MN 55102-2344 |
| Dylan A Bindman | General Practice | Allina Health System | 333 Smith Ave N, Saint Paul, MN 55102-2344 |
| Charles G Terzian | Internal Medicine | Allina Health System | 333 Smith Ave N, Saint Paul, MN 55102-2344 |
| Panduka Samarawardana | Internal Medicine | Allina Health System | 333 Smith Ave N, Saint Paul, MN 55102-2344 |
| Jane Elizabeth Monita | Nurse Practitioner | Allina Health System | 333 Smith Ave N, Saint Paul, MN 55102-2344 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Reid A Martinson | Anesthesiology | Associated Anesthesiologists Pa | 69 Exchange St W, Saint Paul, MN 55102-1004 |
| Nathan M Frink | Internal Medicine | Healtheast Medical Research Institute | 69 Exchange W St, Saint Paul, MN 55102-1004 |
| Orren Wexler | Internal Medicine | Healtheast Medical Research Institute | 69 Exchange W St, Saint Paul, MN 55102-1004 |
| Faisal M Choudhry | Anesthesiology | Associated Anesthesiologists Pa | 69 Exchange St W, Saint Paul, MN 55102-1004 |
| Mueni C Mualuko | Nurse Practitioner | Healtheast Medical Research Institute | 69 Exchange W St, Saint Paul, MN 55102-1004 |
| Joshua B Colton | Gastroenterology | Minnesota Gastroenterology Pa | 69 Exchange St W, Saint Paul, MN 55102-1004 |
| Genet N Ghebre | Nurse Practitioner | Healtheast Medical Research Institute | 69 Exchange W St, Saint Paul, MN 55102-1004 |
| Thomas Christopher Sanneman | Anesthesiology | Associated Anesthesiologists Pa | 69 Exchange St W, Saint Paul, MN 55102-1004 |
| Douglas B Nelson | Gastroenterology | Minnesota Gastroenterology Pa | 69 Exchange St W, Saint Paul, MN 55102-1004 |
| Patrick M Oreilly | Gastroenterology | Minnesota Gastroenterology Pa | 69 Exchange St W, Saint Paul, MN 55102-1004 |
| Find all physicians in zip 55102 | |||
| City | SAINT PAUL |
| Zip Code | 55102 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | SAINT PAUL + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Stephen R Wagner Iv.
| 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.