William Wagle

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

158522 Issued in NY

Practice address

711 Troy Schenectady Rd
Suite 114
Latham, NY 12110-2442

Phone

(518) 786-1600

NPI assigned

Oct 25, 2006

Last updated

Dec 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Albany Medical Center Hospital

  dba Albany Medical Center South Clinical Campus

  • General Acute Care Hospital
  • Albany, NY
  • NPI 1811917461
  NPD (past)
• Albany Medical Center South Clinical Campus

  dba SCC Dept of Radiology

  • Diagnostic Ultrasound Physician
  • Albany, NY
  • NPI 1669408332

  Neuroradiology

  NPD (past)
• Capital Region Open MRI, Inc

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Albany, NY
  • NPI 1306157318
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197072000000",
    "number": "1144304957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 TROY SCHENECTADY RD",
            "address_2": "SUITE 201",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 TROY SCHENECTADY RD",
            "address_2": "SUITE 114",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102442",
            "telephone_number": "518-786-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGLE",
        "first_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "158522",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NY",
            "license": "158522",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "158522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00987637",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Vogel, MD
• Jennifer Haley Vosburgh, NP
• Marianne Elizabeth Vrobel, PT
• W Bruce Clark MD PC
• Emily Wacholder, PA
• Richard J. Waite, PT, DPT
• Wal-Mart Stores East LP (Walmart Pharmacy 10-1997)
• Wal-Mart Stores East, LP (Vision Center 30-1997)
• Jennifer Dong Waldron, PHARM.D.
• Walgreen Co (Rite Aid #10699)

• Diagnostic Radiology Physician in Latham, NY
• Providers in Latham, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2007; 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.