E Noble Wagner DO PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

E NOBLE WAGNER DO PC

Practice address

424 Central Ave
Cheltenham, PA 19012-2104

Phone

(215) 379-3444

Fax

(215) 663-9430

NPI assigned

Jul 11, 2007

Last updated

Jul 11, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. E Noble Wagner, DO

Title

President

Phone

(215) 379-3444

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1639377666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 CENTRAL AVE",
            "city": "CHELTENHAM",
            "state": "PA",
            "postal_code": "190122104",
            "telephone_number": "125-379-3444",
            "fax_number": "215-663-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 CENTRAL AVE",
            "city": "CHELTENHAM",
            "state": "PA",
            "postal_code": "190122104",
            "telephone_number": "215-379-3444",
            "fax_number": "215-663-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E NOBLE WAGNER DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "E",
        "authorized_official_middle_name": "NOBLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-379-3444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Cheltenham, PA
• Providers in Cheltenham, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.

Verify at the official NPI Registry.