George C Wagner, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101051795 Issued in VA

Practice address

2930 Tree Swallow Rd
Roanoke, VA 24018-5024

Phone

(540) 354-3159

NPI assigned

Jan 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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 and National Provider Directory roles.

• Saunders & Peavy LLC

  dba Emergicare of Harrisonburg

  • Urgent Care Clinic/Center
  • Harrisonburg, VA
  • NPI 1245908268
  NPD (past)
• St Charles Health Council Inc

  dba Coeburn Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Coeburn, VA
  • NPI 1942322003
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360281600000",
    "number": "1275504078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 TREE SWALLOW RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240185024",
            "telephone_number": "540-354-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 TREE SWALLOW RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240185024",
            "telephone_number": "540-354-3159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "GEORGE",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2013-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101051795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Wade, CRNA
• Lisa Wade, MS, CCC/SLP
• Julia Wadolowska, PA
• Raniyah Majied Wagher
• Donna Wagner, L.P.C.
• Rachel Dawn Wagner, RPH
• Barbara Joyce Wagnon, NP-C
• Rachel Wagnon
• Alaha Wahab, M.D.
• Lana Wahid, M.D.

• Internal Medicine Physician in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; 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.