DR. KATHERINE MARY WAGNER MD NPI 1396908265

NPI Information

NPI: 1396908265
Provider Name: DR. KATHERINE MARY WAGNER, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
13201 GRANGER RD STE 2
GARFIELD HTS, OH
ZIP 44125
Phone: (216) 475-8844
Get Directions

DR. Katherine Mary Wagner, MD is a pediatrics in Garfield Hts, OH. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Katherine Mary Wagner, MD NPI is 1396908265. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13201 GRANGER RD STE 2
GARFIELD HTS, OH
ZIP 44125-979
Phone: (216) 475-8844
Fax: (216) 475-3816

The enumeration date for this NPI number is 7/9/2008 and was last updated on 12/19/2011.

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
1	390200000X	Student in an Organized Health Care Education/Training Program				No
2	208000000X	Pediatrics		35-096862	OHIO	Yes

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
1	H000600	MEDICARE PIN	OHIO
2	3149168	MEDICAID	OHIO

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »