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DR. TIMOTHY JOHN WAGNER DO NPI 1205949690


NPI Information

NPI: 1205949690
Provider Name: DR. TIMOTHY JOHN WAGNER, DO
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: UNIVERSITY PRIMARY CARE PRACTICES INC

PECOS Registration: Yes

Address:
101 COOPER FOSTER PARK RD
AMHERST, OH
ZIP 44001
Phone: (440) 988-3705
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DR. Timothy John Wagner, DO is a family medicine in Amherst, OH with 30 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Timothy John Wagner, DO NPI is 1205949690. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:1994

The provider's business location address is:

101 COOPER FOSTER PARK RD
AMHERST, OH
ZIP 44001-001
Phone: (440) 988-3705
Fax: (440) 988-7433

The NPI 1205949690 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.

  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Pneumococcal vaccine for injection into muscle (HCPCS:90670)
  • Automated urinalysis test (HCPCS:81003)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration (HCPCS:94060)
  • Removal of impact ear wax, one ear (HCPCS:69210)
  • Urinalysis, manual test (HCPCS:81002)

The enumeration date for this NPI number is 8/17/2006 and was last updated on 11/23/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine34-00-6316OHIOYes

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
13025372MEDICAIDOHIO
22036997MEDICAIDOHIO

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.