The Wagner Group, Inc.

Primary specialty

Emergency Response System CompaniesTaxonomy code 333300000X

Legal business name

THE WAGNER GROUP, INC.

Practice address

3390 SW 131St Ter
Davie, FL 33330-4618

Phone

(954) 370-7989

Fax

(954) 370-4833

NPI assigned

Sep 16, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Joseph R Wagner

Title

Vice President

Phone

(954) 370-7989

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Companion Call Light of South Florida Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phyllis A. Wagner, ARNP

  • Family Nurse Practitioner
  • Davie, FL
  • NPI 1609157569
  NPD (past)

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1134437767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3390 SW 131ST TER",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304618",
            "telephone_number": "954-370-7989",
            "fax_number": "954-370-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3390 SW 131ST TER",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304618",
            "telephone_number": "954-370-7989",
            "fax_number": "954-370-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WAGNER GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-16",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "954-370-7989",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333300000X",
            "taxonomy_group": "",
            "desc": "Emergency Response System Companies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "680860396",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "685888100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "680860398",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Companion Call Light of South Florida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Emergency Response System Companies in Davie, FL
• Providers in Davie, FL by specialty
• Emergency Response System Companies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.