Sarah Anne Wagstaff, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA031540 Issued in DC

Practice address

4400 Massachusetts Ave NW
McCabe Hall
Washington, DC 20016-8036

Phone

(202) 885-3380

Fax

(202) 885-1222

NPI assigned

Apr 8, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1134515018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 MASSACHUSETTS AVE NW",
            "address_2": "MCCABE HALL",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200168036",
            "telephone_number": "202-885-3380",
            "fax_number": "202-885-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 MASSACHUSETTS AVE NW",
            "address_2": "MCCABE HALL",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200168036",
            "telephone_number": "202-885-3380",
            "fax_number": "202-885-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGSTAFF",
        "first_name": "SARAH",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-08",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110004897",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DC",
            "license": "PA031540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Irene Wagner, PHD
• Martha Wagner, M.D.
• Robert Stanley Wagner
• Eva De'Shawn Wagoner, HHA
• Jerica Wagoner
• Clara Wahba
• Victor Samuel Wahby, MD, PH.D., FACP
• Mohammad Hassan Wahdan, PT, DPT
• Sarah Waheed, MD
• Salman Wahid, M.D

• Physician Assistant in Washington, DC
• Providers in Washington, DC by specialty
• Physician Assistant in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.