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DANIEL LEE WAGSTAFF M.D. NPI 1417904442


NPI Information

NPI: 1417904442
Provider Name: DANIEL LEE WAGSTAFF, M.D.
Classification: Internal Medicine - 207R00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
101 E WOOD ST
SPARTANBURG, SC
ZIP 29303
Phone: (864) 560-6654
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Daniel Lee Wagstaff, M.D. is an internal medicine in Spartanburg, SC. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Daniel Lee Wagstaff, M.D. NPI is 1417904442. 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:

101 E WOOD ST
SPARTANBURG, SC
ZIP 29303-040
Phone: (864) 560-6654

The NPI 1417904442 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 enumeration date for this NPI number is 5/27/2006 and was last updated on 2/12/2016.


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
1208M00000XHospitalist203440LOUISIANANo
2207R00000XInternal Medicine203440LOUISIANANo
3207R00000XInternal Medicine24395SOUTH CAROLINAYes

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
1256124YJA2MEDICARE PIN
2SC65915019MEDICARE PINSOUTH CAROLINA
37712588OTHERSOUTH CAROLINAAETNA ID
4P01577390OTHERSOUTH CAROLINARAILROAD MEDICARE
51808580MEDICAIDLOUISIANA
6I076017951MEDICARE PINSOUTH CAROLINA
7P00110891OTHERSOUTH CAROLINARR MEDICARE
8576007863071OTHERSOUTH CAROLINABLUECHOICE HEALTHPLAN ID
95135341OTHERSOUTH CAROLINACIGNA ID
10I07601MEDICARE UPINSOUTH CAROLINA
11I076013640MEDICARE PINSOUTH CAROLINA
12576007863095OTHERSOUTH CAROLINABCBS OF SC ID
13243953MEDICAIDSOUTH CAROLINA
1403427237MEDICAIDMISSISSIPPI
15SC65919068MEDICARE PINSOUTH CAROLINA

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: 4/28/2024

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.