JAMES S WAGENAAR DO NPI 1194768754

NPI Information

  • NPI: 1194768754
  • Provider Name: JAMES S WAGENAAR, DO
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1408 CAMPBELL DR
    IRONTON, OH
    ZIP 45638
  • Phone: (740) 533-9710

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NPI Details

James S Wagenaar, DO is an emergency medicine in Ironton, OH. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. James S Wagenaar, DO NPI is 1194768754. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1408 CAMPBELL DR
IRONTON, OH
ZIP 45638-301
Phone: (740) 533-9710
Fax: (740) 533-9712

The NPI 1194768754 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/13/2006 and was last updated on 10/29/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency Medicine34005359OHIOYes
2207PE0004XEmergency MedicineEmergency Medical Services34005359OHIONo

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000702618OTHERMOUNTAIN STATE BCBS
20843529MEDICAIDOHIO
30043615000MEDICAIDWEST VIRGINIA
4310917085154OTHEROHIOOH MEDICAID CARESOURCE
5000000210197OTHEROHIOOH MEDICAID UNISON
6000000493481OTHERANTHEM BCBS

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: 11/21/2025

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