Donna RM Wagner, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

J0338 Issued in TX

Practice address

2701 Hospital Dr
Victoria, TX 77901-5749

Phone

(361) 573-9181

NPI assigned

Oct 12, 2006

Sex

Female

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 3

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

Baylor College of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Citizens Medical Center County of Victoria 102 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Citizens Medical Center Hospital, Victoria, TX, CCN 450023
• Lavaca Medical Center Hospital, Hallettsville, TX, CCN 451376
• De Tar Hospital Navarro Hospital, Victoria, TX, CCN 450147
• Yoakum Community Hospital Hospital, Yoakum, TX, CCN 451346

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Citizen'S Medical Center County of Victoria

  • Multi-Specialty Clinic/Center
  • Victoria, TX
  • NPI 1205242088

  Anesthesiology, TX

  Medicare reassignment Care Compare group NPD
• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  NPD (past)

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

• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162

  Hospital

  Care Compare affiliation
• Lavaca Hospital District

  • Critical Access Hospital
  • Hallettsville, TX
  • NPI 1992767511

  Hospital

  Care Compare affiliation
• Victoria of Texas LP

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1851343909

  Hospital

  Care Compare affiliation
• Yoakum Community Hospital

  • Critical Access Hospital
  • Yoakum, TX
  • NPI 1881697878

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1487743969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 HOSPITAL DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015749",
            "telephone_number": "361-573-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 HOSPITAL DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015749",
            "telephone_number": "361-573-9181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6404 Nursery Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Victoria",
            "state": "TX",
            "postal_code": "779041688",
            "country_code": "US",
            "telephone_number": "361-570-8311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "815 N Virginia St",
            "address_purpose": "LOCATION",
            "city": "Port Lavaca",
            "state": "TX",
            "postal_code": "779793025",
            "country_code": "US",
            "telephone_number": "361-552-6713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "DONNA",
        "middle_name": "RM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "J0338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "742710179A011",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "MDJ0338TX",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123558203",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• W Dennis Tobin MD PA
• W.H. Shuttlesworth D.D.S., Inc.
• Christine Renee Wachsmuth, R.PH.
• Christine Mary Wagner, LCSW
• Derrick C Wagner, FNP-C
• Erin Leigh Wagner
• Pamela Coy Wagner, RN, FNP
• William Jordan Wagner Jr., M.D.
• Loren C Wakham, O.D.
• Wal-Mart Stores Texas LLC

• All providers in Victoria, TX
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.