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ELLIOTT J WAGNER M.D. NPI 1558312579


NPI Information

NPI: 1558312579
Provider Name: ELLIOTT J WAGNER, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: ALLEN PARISH HOSPITAL DISTRICT NO 3

PECOS Registration: Yes

Address:
200 E 66TH ST APT C904
NEW YORK, NY
ZIP 10065
Phone: (949) 378-4889
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Elliott J Wagner, M.D. is a diagnostic radiology radiology in New York, NY with 46 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Elliott J Wagner, M.D. NPI is 1558312579. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1978

The provider's business location address is:

200 E 66TH ST APT C904
NEW YORK, NY
ZIP 10065-163
Phone: (949) 378-4889
Fax: (212) 752-2190

The NPI 1558312579 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view, front (HCPCS:71010)
  • CT scan of abdomen and pelvis (HCPCS:74176)
  • X-ray of chest, 2 views, front and side (HCPCS:71020)
  • Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)

The enumeration date for this NPI number is 5/15/2006 and was last updated on 10/29/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic Radiology25MA08122100NEW JERSEYYes
22085R0202XRadiologyDiagnostic RadiologyG49698CALIFORNIANo
32085R0202XRadiologyDiagnostic Radiology238657-1NEW YORKNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100G496980OTHERCALIFORNIABLUE SHIELD
202917751MEDICAIDNEW YORK
300G496980MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.