Individual
ROBERT J WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017
(859) 301-8074
(859) 301-4945
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 301-8074
(859) 301-4945
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
36850
KY
208M00000X
Hospitalist Physician
35.076987
OH
208M00000X
Hospitalist Physician
Primary
36850
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2434011
—
OH
05
—
64045016
—
KY
Enumeration date
10/24/2005
Last updated
06/26/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us