William G Wagner, MD, SC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

WILLIAM G WAGNER, MD, SC

Practice address

3100 Superior Ave
Sheboygan, WI 53081-1948

Phone

(920) 451-8142

NPI assigned

May 27, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William G Wagner, MD

Title

President

Phone

(920) 451-8142

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073560884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 KOHLER MEMORIAL DR",
            "address_2": "#101",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813100",
            "telephone_number": "920-451-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 SUPERIOR AVE",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530811948",
            "telephone_number": "920-451-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM G WAGNER, MD, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-451-8142",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley James Wiegand, D.C.
• Rachel Ann Wiegand, D.C.
• Jeffrey Lee Wild, D.C.
• Matthew Wilke
• Darlene Wilken, SAC-IT
• Robyn Ann Williams, LPC
• Robert T Willis, MD
• Willowglen Academy - Wilson
• Willowglen Academy-Wisconsin, Inc. (Howard Jansen Learning Center)
• Matthew Reed Willsey, D.O.

• Vascular & Interventional Radiology Physician in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• Vascular & Interventional Radiology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.