Active NPI
Kathryn a. Wagner, MD, PA
- Surgery Physician
- San Antonio, TX
National Provider Identifier
1487910014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- KATHRYN A. WAGNER, MD, PA
- Practice address
- 414 Navarro Street
Suite 1407
San Antonio, TX 78205-2516 - Phone
- (210) 277-6255
- Fax
- (210) 277-6256
- NPI assigned
- Apr 9, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kathryn A Wagner, M.D.
- Title
- Owner
- Phone
- (210) 277-6255
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
414 Navarro Street
Suite 1407
San Antonio, TX 78205-2516
Mailing address
414 Navarro Street
Suite 1407
San Antonio, TX 78205-2516
Phone (210) 277-6255
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1333929600000",
"number": "1487910014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 NAVARRO STREET",
"address_2": "SUITE 1407",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782052516",
"telephone_number": "210-277-6255",
"fax_number": "210-277-6256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 NAVARRO STREET",
"address_2": "SUITE 1407",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782052516",
"telephone_number": "210-277-6255",
"fax_number": "210-277-6256"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATHRYN A. WAGNER, MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-09",
"last_updated": "2012-04-09",
"status": "A",
"authorized_official_last_name": "WAGNER",
"authorized_official_first_name": "KATHRYN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "210-277-6255",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.