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JEFFREY D. WAGNER MD PC NPI 1609079607


NPI Information

NPI: 1609079607
Provider Name: JEFFREY D. WAGNER, MD, PC

Doing Business As: WAGNER AND ASSOCIATES

Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
8040 CLEARVISTA PKWY STE 570
INDIANAPOLIS, IN
ZIP 46256
Phone: (317) 621-2580
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JEFFREY D. WAGNER, MD, PC is a medical specialty clinic center in Indianapolis, IN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). JEFFREY D. WAGNER, MD, PC NPI is 1609079607. The provider is registered as an organization entity type.
The provider Is Doing Business As Wagner And Associates.

The provider's business location address is:

8040 CLEARVISTA PKWY STE 570
INDIANAPOLIS, IN
ZIP 46256-673
Phone: (317) 621-2580
Fax: (317) 621-2580

The provider's authorized official is Jeffrey D. Wagner .
The authorized official title is President and has the following contact phone number (317) 621-2520.

The enumeration date for this NPI number is 6/7/2007 and was last updated on 11/2/2021.


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
1261QM2500XClinic/CenterMedical SpecialtyYes

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.