Paul F Wagner, MD SC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

PAUL F WAGNER, MD SC

Practice address

308 McHenry St
Burlington, WI 53105-2164

Phone

(262) 763-7613

Fax

(262) 763-7002

NPI assigned

Apr 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Paul F Wagner, MD

Title

President

Phone

(262) 763-7613

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shara Grover, MD

  • Psychiatry Physician
  • Waukesha, WI
  • NPI 1629043765
  NPD (past)
• Richard R Pearson

  • Optometrist
  • Mukwonago, WI
  • NPI 1871583765
  NPD (past)

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240876800000",
    "number": "1306063045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 MCHENRY ST",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531052164",
            "telephone_number": "262-763-7613",
            "fax_number": "262-763-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 MCHENRY ST",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531052164",
            "telephone_number": "262-763-7613",
            "fax_number": "262-763-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL F WAGNER, MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2009-04-28",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-763-7613",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Cathleen Palecek, PA-C
• John R Park, MD
• Alyssa J Paschke, DPT
• Arti Patel, DO
• Sapna Patel, MD
• James Pavlich Pavlich, D.O.
• Brittni Cera Peach
• Christine M. Pedretti, LCSW
• People First
• Personal Touch Inner Fashions

• Ophthalmology Physician in Burlington, WI
• Providers in Burlington, WI by specialty
• Ophthalmology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; 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.