Deborah E Wagner, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2004000667 Issued in MO

Practice address

1001 Chesterfield Pkwy E
Suite 101
Chesterfield, MO 63017-2041

Phone

(314) 878-3839

Fax

(314) 878-6575

NPI assigned

May 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Deborah E Webman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CDCFAD/Endpoint/CDCFAD

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283212800000",
    "number": "1154371664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CHESTERFIELD PKWY E",
            "address_2": "SUITE 101",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172041",
            "telephone_number": "314-878-3839",
            "fax_number": "314-878-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CHESTERFIELD PKWY E",
            "address_2": "SUITE 101",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172041",
            "telephone_number": "314-878-3839",
            "fax_number": "314-878-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "DEBORAH",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2010-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2004000667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00169010",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "WEBMAN",
            "middle_name": "E",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Valerie Ann Vuichard, RPH
• Melissa Allison Wachler, CCC-SLP
• Jacob Patrick Wacker, MMSC, PA-C
• Courtney Ann Wagner, PA-C
• Daniel Gray Wagner, M.D.
• Laura Ella Wagner, M.D.
• Salman Waheed, M.D., M.P.H.
• Wahl Health & Wellness LLC
• Aaron Wahl, D.C.
• Kimberly Wahl, FNP-BC

• Physician Assistant in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.