MISS JOELLE SUSAN WAGNER PA NPI 1750858981

NPI Information

NPI: 1750858981
Provider Name: MISS JOELLE SUSAN WAGNER, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
767 MAIN STREET
WEST SENECA, NY
ZIP 14224
Phone: (716) 361-1624
Get Directions

MISS Joelle Susan Wagner, PA is a surgical physician assistant in West Seneca, NY with 4 years of experience. MISS Joelle Susan Wagner, PA NPI is 1750858981. 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:

767 MAIN STREET
WEST SENECA, NY
ZIP 14224
Phone: (716) 361-1624

The NPI 1750858981 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 10/25/2018 and was last updated on 12/9/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	025951-01	NEW YORK	Yes
2	390200000X	Student in an Organized Health Care Education/Training Program				No

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

NPI Synchronization or Removal

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