Robert J Wagner Jr., D.O.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

H0061922 Issued in MD

Practice address

5801 Allentown Rd
Suite 502
Camp Springs, MD 20746

Phone

(240) 427-1630

Fax

(240) 492-2070

NPI assigned

Oct 5, 2005

Sex

Male

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

Enrolled in MD

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

91.69 of 100Reported as group

Quality

78.83

Promoting interoperability

99

Improvement activities

40

Cost

79.54

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

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

• Surgical Associates LLC

  • Vascular Surgery Physician
  • Camp Springs, MD
  • NPI 1518954312
  Medicare reassignment

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1164419081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 ALLENTOWN RD",
            "address_2": "SUITE 502",
            "city": "CAMP SPRINGS",
            "state": "MD",
            "postal_code": "207464563",
            "telephone_number": "240-427-1630",
            "fax_number": "240-492-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 ALLENTOWN RD",
            "address_2": "SUITE 502",
            "city": "CAMP SPRINGS",
            "state": "MD",
            "postal_code": "20746",
            "telephone_number": "240-427-1630",
            "fax_number": "240-492-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MD",
            "license": "H0061922",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "H0061922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Timberlake, M.D.
• Barbara Quinney Tobias-Holtz, PHD
• James Tzeng, M.D.
• George Edward Urban Jr., M.D.
• John Nicholas Van Dam, MD
• Simone Wallerson, OTR/L
• Washington DC Vamc
• Ashley N Washington, LGPC
• Lache' Washington
• Ena May Watson, PH.D., BCD, LCSW-C

• Surgery Physician in Camp Springs, MD
• Providers in Camp Springs, MD by specialty
• Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.