Jeffrey D. Wagner, MD, PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

JEFFREY D. WAGNER, MD, PC

Practice address

8040 Clearvista Pkwy Ste 570
Indianapolis, IN 46256-4673

Phone

(317) 621-2580

Fax

(317) 621-2580

NPI assigned

Jun 7, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jeffrey D. Wagner, MD

Title

President

Phone

(317) 621-2520

Specialties & licenses 1

Addresses

Other names 1

• Wagner and Associates Doing business as

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: secure.message@jdwagnermd.azalea.phimailbox.com

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elaine Off, FNP-C

  • Family Nurse Practitioner
  • Indianapolis, IN
  • NPI 1285230268
  NPD
• Stacie Wenck

  • Nurse Practitioner
  • Indianapolis, IN
  • NPI 1548417322
  NPD (past)

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1609079607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8040 CLEARVISTA PKWY STE 570",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462564673",
            "telephone_number": "317-621-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8040 CLEARVISTA PKWY STE 570",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462564673",
            "telephone_number": "317-621-2580",
            "fax_number": "317-621-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY D. WAGNER, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-621-2520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "secure.message@jdwagnermd.azalea.phimailbox.com",
            "affiliation": "N",
            "endpointDescription": "Wagner and Associates",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8040 Clearvista Pkwy Ste 570",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462564673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Wagner and Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wagner and Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kayana Jefferson
• Kristina Jefferson
• Laura Jefferson, LSW
• Marcia M Jefferson, NP
• Shea Jeffres
• Jeffrey J. Rich DDS, P.C.
• Jeffrey L. Morer, OD, PC
• Jeffrey N de Wester Treatment and Research Center, LLC
• Jenna Marie Jeffries, MSN FNP-BC
• Brianna Jehl, PHD

• Medical Specialty Clinic/Center in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Medical Specialty Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.