Active NPI
Frank Hall Wagner, M.D.
- Family Medicine Physician
- New Orleans, LA
National Provider Identifier
1205033537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 008972
- Practice address
- 236 Delaronde St
New Orleans, LA 70114-2328 - Phone
- (504) 368-6769
- NPI assigned
- Jun 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 008972 | LA | Primary |
Addresses
Primary practice location
236 Delaronde St
New Orleans, LA 70114-2328
Mailing address
236 Delaronde St
New Orleans, LA 70114-2328
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008972 | LA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189296000000",
"number": "1205033537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "236 DELARONDE ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701142328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "236 DELARONDE ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701142328",
"telephone_number": "504-368-6769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "FRANK",
"middle_name": "HALL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-29",
"last_updated": "2007-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "008972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.