Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
DR. JOHN THOMAS WAGNER
Active
Individual
DR. JOHN THOMAS WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC003667R
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
SC003667R
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001408328009
—
PA
Enumeration date
07/27/2005
Last updated
06/15/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up