Steventon Scott Wagner, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

36002797 Issued in OH

Practice address

1208 W 5TH Ave
Columbus, OH 43212-2501

Phone

(614) 488-9478

Fax

(614) 488-4836

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

Yes

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

Merit-based Incentive Payment System (MIPS)

Final score

96.82 of 100Reported as individual

Quality

87.59

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1598854184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 W 5TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432122501",
            "telephone_number": "614-488-9478",
            "fax_number": "614-488-4836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 W 5TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432122501",
            "telephone_number": "614-488-9478",
            "fax_number": "614-488-4836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "STEVENTON",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36002797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0992707",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480020534",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Gary Wagner
• Matthew M Wagner, MD
• Rebecca Anne Wagner, APRN-CNM
• Samantha Wagner, PHARMD
• Shana Wagner, CPNP-PC
• Tracey Lynn Wagner, M.D.
• Tara S. Wagoner
• Daniel G Wah Jr.
• Shaun Abdul Wahab, M.D.
• Jacob Wahl, PTA

• Podiatrist in Columbus, OH
• Providers in Columbus, OH by specialty
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.