Robert H Wagner (NPI# 1457329997, PAC ID# 7911956305) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1457329997 |
| PAC ID by PECOS | 7911956305 |
| Professional Enrollment ID | I20050112000722 |
| Full Name | Robert H Wagner |
| Organization Legal Name | PHYSICAL MEDICINE ASSOCIATES LTD |
| Address |
1750 Tysons Blvd Suite 120 Mclean VA 22102-4227 |
| Phone Number | 7037147378 |
| Gender | M |
| Credential | MD |
| Medical School | EASTERN VIRGINIA MEDICAL SCHOOL |
| Graduation Year | 1995 |
| Primary Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| Secondary Specialties | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 4981688835 |
| Number of Group Practice Members | 75 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490004 | SENTARA RMH MEDICAL CENTER |
| 490040 | INOVA ALEXANDRIA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2455 Army Navy Dr, Arlington, VA 22206-2905 | 7035608280 | PHYSICAL MEDICINE ASSOCIATES LTD |
| 1750 Tysons Blvd, Suite 120, Mclean, VA 22102-4227 | 7037147378 | PHYSICAL MEDICINE ASSOCIATES LTD |
| Organization Legal Name | PHYSICAL MEDICINE ASSOCIATES LTD |
| Physicians | 79 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teresa Ojode | Anesthesiology | Physical Medicine Associates Ltd | 24560 Southpoint Dr, Aldie, VA 20105-3504 |
| Stacey A Waldron | Physician Assistant | Physical Medicine Associates Ltd | 411 Park Hill Dr, B, Fredericksburg, VA 22401-3376 |
| Natasha Rene Paris Dalton | Nurse Practitioner | Physical Medicine Associates Ltd | 1316 S Jefferson St, Roanoke, VA 24016-4953 |
| Jasmit Singh Brar | Anesthesiology | Physical Medicine Associates Ltd | 2455 Army Navy Dr, Arlington, VA 22206-2905 |
| Michelle Marie Jacques | Nurse Practitioner | Physical Medicine Associates Ltd | 3 Washington Circle Nw, Suite 305, Washington, DC 20037-2311 |
| Jacob Lee | Interventional Pain Management | Physical Medicine Associates Ltd | 1741 Williamsport Pike, Martinsburg, WV 25404-4341 |
| Stacy Ann Amrhein | Physician Assistant | Physical Medicine Associates Ltd | 1420 Spring Hill Rd, Suite 210, Mc Lean, VA 22102-3006 |
| Colleen C Mcelhinney | Physician Assistant | Physical Medicine Associates Ltd | 15195 Healthcoat Blvd, Suite 230, Haymarket, VA 20169-6245 |
| Shoshana D Katz | Physician Assistant | Physical Medicine Associates Ltd | 5213 Hickory Park Dr, B, Glen Allen, VA 23059-2617 |
| Ramatia Mahboobi | Interventional Pain Management | Physical Medicine Associates Ltd | 3803 Fairfax Dr, Suite 400, Arlington, VA 22203-5860 |
| Street Address |
1750 TYSONS BLVD SUITE 120 |
| City | MCLEAN |
| State | VA |
| Zip | 22102-4227 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rodney B Dade | Interventional Pain Management | Physical Medicine Associates Ltd | 1750 Tysons Blvd, Suite 120, Mclean, VA 22102-4227 |
| Maggie Ipsaro | Physician Assistant | Physical Medicine Associates Ltd | 1750 Tysons Blvd, Suite 120, Mclean, VA 22102-4227 |
| Mayo F Friedlis | Interventional Pain Management | Physical Medicine Associates Ltd | 1750 Tysons Blvd, Suite 120, Mclean, VA 22102-4227 |
| Kelsey L Olsavsky | Physician Assistant | Physical Medicine Associates Ltd | 1750 Tysons Blvd, Suite 120, Mclean, VA 22102-4227 |
| Annum Khan | Physician Assistant | Physical Medicine Associates Ltd | 1750 Tysons Blvd, Suite 120, Mclean, VA 22102-4227 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ali T Allawi | Diagnostic Radiology | Brooklyn Hospital Radiology PC | 1028 Gelston Cir, Mc Lean, VA 22102-2108 |
| Tasha Latrice Young | Podiatry | 8315 Turning Leaf Lane, Mclean, VA 22102-2615 | |
| Gretchen G Edwards | Physician Assistant | National Center for Plastic Surgery LLC | 7601 Lewinsville Rd, Suite 400, Mclean, VA 22102-2834 |
| Mark Venturi | Plastic and Reconstructive Surgery | National Center for Plastic Surgery LLC | 7601 Lewinsville Rd, Suite 400, Mclean, VA 22102-2834 |
| Ali Mesbahi | Plastic and Reconstructive Surgery | National Center for Plastic Surgery LLC | 7601 Lewinsville Rd, Suite 400, Mclean, VA 22102-2834 |
| Maurice Nahabedian | Plastic and Reconstructive Surgery | National Center for Plastic Surgery LLC | 7601 Lewinsville Rd, Suite 400, Mclean, VA 22102-2834 |
| Matthew A Cissell | Physician Assistant | National Center for Plastic Surgery LLC | 7601 Lewinsville Rd, Suite 400, Mclean, VA 22102-2834 |
| Ivica Ducic | Plastic and Reconstructive Surgery | 7601 Lewinsville Rd, Suite 460, Mc Lean, VA 22102-2834 | |
| Haven J Barlow Jr. | Plastic and Reconstructive Surgery | National Center for Plastic Surgery LLC | 7601 Lewinsville Rd, Suite 400, Mclean, VA 22102-2834 |
| Marwan Riad Khalifeh | Plastic and Reconstructive Surgery | 7601 Lewinsville Rd, Suite 300, Mc Lean, VA 22102-2835 | |
| Find all physicians in zip 22102 | |||
| City | MCLEAN |
| Zip Code | 22102 |
| Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| City + Specialty | MCLEAN + INTERVENTIONAL PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Robert H 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.