John R Wagner Jr., M.D.

Primary specialty

Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X

License

4301061192 Issued in MI

Practice address

11012 E 13 Mile Rd
Suite 112
Warren, MI 48093-2572

Phone

(586) 573-6880

Fax

(586) 573-2562

NPI assigned

Aug 18, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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.

• Michigan Surgery Specialists, P.C.

  dba Motus Rehabilitation

  • Prosthetic/Orthotic Supplier
  • Farmington Hills, MI
  • NPI 1700624079
  NPD (past)

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290988800000",
    "number": "1396737086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29900 LORRAINE AVE",
            "address_2": "SUITE 400",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480935266",
            "telephone_number": "586-582-0864",
            "fax_number": "586-582-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11012 E 13 MILE RD",
            "address_2": "SUITE 112",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932572",
            "telephone_number": "586-573-6880",
            "fax_number": "586-573-2562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2010-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "MI",
            "license": "4301061192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4124122",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN #",
            "identifier": "JW061192",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary Hans Voelkert, PTA
• Saifuddin Tayyab Vohra, D.O.
• Ryan Volgyi
• Natalya Voronovich
• Sanford E Wagenberg, MD
• MD Wahiduzzaman, MD
• Michelle Hampton Wahula, MSW, LMSW
• Sarah Elise Waineo, MA BCBA LBA
• Jacqueline Wajer, RN
• Wal-Mart Stores East LP (WalMart Pharmacy 10-4424)

• Orthopaedic Hand Surgery Physician in Warren, MI
• Providers in Warren, MI by specialty
• Orthopaedic Hand Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; 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.