NPIMap

Individual provider Active NPI

Charles Allen Wagner Jr., DO

  • Internal Medicine Physician
  • Reading, PA
National Provider Identifier
1316904345
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS008546L Issued in PA
Practice address
2701 Shillington Rd Ste 200
Reading, PA 19608-1732
Phone
(484) 658-6500
Fax
(484) 822-9440
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS008546L PA Primary

Addresses

Primary practice location

2701 Shillington Rd Ste 200
Reading, PA 19608-1732

Mailing address

2701 Shillington Rd Ste 200
Reading, PA 19608-1732
Phone (484) 658-6500

Other identifiers 1

IdentifierTypeStateIssuer
0016970330010MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041115000989 PA Practitioner - Internal Medicine 5496719908 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

2701 Shillington Rd
Reading, PA 19608-1732

300 Hollywood Blvd
Orwigsburg, PA 17961-2426
Phone (570) 366-1557

4311 Easton Ave
Bethlehem, PA 18020-1431
Phone (610) 954-3600

4379 Easton Ave
101 Family Prac Palmer
Bethlehem, PA 18020-1431
Phone (610) 814-2424

Hospital & facility affiliations

  • Geisinger Home Health Home health agency, Hazle Township, PA, CCN 398030
  • Bayada Home Health Care, Inc. Home health agency, Wyomissing, PA, CCN 398035
  • Precision Home Healthcare, Inc Home health agency, Orwigsburg, PA, CCN 398178
  • Geisinger Medical Center Hospital, Danville, PA, CCN 390006
  • Geisinger St. Luke'S Hospital Hospital, Orwigsburg, PA, CCN 390332
  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • Schuylkill Medical Center - South Jackson Street Hospital, Pottsville, PA, CCN 390030
  • Reading Hospital Hospital, West Reading, PA, CCN 390044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS008546LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Oct 19, 2020 Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic CurrentSince Oct 19, 2020 Accepting new patients
Patient First Pennsylvania Medical Group PLLC CurrentSince Dec 21, 2015 Accepting new patients
Patient First Pennsylvania Medical Group PLLC CurrentSince Dec 21, 2015 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Geisinger Clinic Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

701 W Oak St
Frackville, PA 17931
Phone (570) 874-4100

5125 Jonestown Rd
Ste 105
Harrisburg, PA 17112
Phone (717) 943-1566

713 Bethlehem Pike
Montgomeryvle, PA 18936
Phone (267) 695-3944

300 Hollywood Blvd
Orwigsburg, PA 17961
Phone (570) 366-1557

2600 Papermill Rd
Wyomissing, PA 19610
Phone (484) 220-0051

Interoperability endpoints

  • Direct secure messaging: cwagner291684@direct.geisinger.edu

Organizations & group practices 8

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.

Hospital & facility affiliations 44

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1316904345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 SHILLINGTON RD STE 200",
            "city": "READING",
            "state": "PA",
            "postal_code": "196081732",
            "telephone_number": "484-658-6500",
            "fax_number": "484-822-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 SHILLINGTON RD STE 200",
            "city": "READING",
            "state": "PA",
            "postal_code": "196081732",
            "telephone_number": "484-658-6500",
            "fax_number": "484-822-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "CHARLES",
        "middle_name": "ALLEN",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS008546L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016970330010",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.