ROBERT WILLIAM WAGIE M.M.S. PA-C NPI 1609203611

NPI Information

NPI: 1609203611
Provider Name: ROBERT WILLIAM WAGIE, M.M.S., PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
130 2ND ST
NEENAH, WI
ZIP 54956
Phone: (920) 729-2060
Get Directions

Robert William Wagie, M.M.S., PA-C is a medical physician assistant in Neenah, WI. Robert William Wagie, M.M.S., PA-C NPI is 1609203611. 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:

130 2ND ST
NEENAH, WI
ZIP 54956-883
Phone: (920) 729-2060

The NPI 1609203611 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 10/4/2013 and was last updated on 4/13/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical			Yes

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: 5/5/2024

NPI Synchronization or Removal

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