Active NPI
Robert Wagner, AA
- Anesthesiology Physician
- Delray Beach, FL
National Provider Identifier
1528097037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- AA1
- Practice address
- 4800 Linton Blvd
BLDG B
Delray Beach, FL 33445-6584 - Phone
- (561) 495-9111
- Fax
- (561) 495-6766
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | AA1 | FL | Primary |
Addresses
Primary practice location
4800 Linton Blvd
BLDG B
Delray Beach, FL 33445-6584
Mailing address
40 NE 2ND Ave
Deerfield Beach, FL 33441-3504
Phone (954) 426-8840
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Specialists in Anesthesia, P.C. | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1316968662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528097037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 NE 2ND AVE",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334413504",
"telephone_number": "954-426-8840",
"fax_number": "954-426-6642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 LINTON BLVD",
"address_2": "BLDG B",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334456584",
"telephone_number": "561-495-9111",
"fax_number": "561-495-6766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "ROBERT",
"credential": "AA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "AA1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.