Richard John Wagner Jr., DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

OS022870 Issued in PA

Practice address

5515 Peach St
Erie, PA 16509-2695

Phone

(814) 864-4031

NPI assigned

Jun 16, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Lake Erie College of Osteopathic Medicine, Erie, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr. Gertrude a. Barber Center, Inc.Group PAC ID 9931149523, 2 clinicians

Millcreek Community HospitalGroup PAC ID 8426020173, shared by 24 NPIs, 67 clinicians

Counselling Services Center of Southeastern Erie County, Inc.Group PAC ID 7214975283, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lecom Medical Center and Behavioral Health Pav Hospital, Erie, PA, CCN 390198

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/barberinstitute/r4/

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.

• Counselling Services Center of Southeastern Erie County, Inc.

  • Community/Behavioral Health Agency
  • Corry, PA
  • NPI 1417968439
  Medicare reassignment Care Compare group NPD
• Dr Gertrude a Barber Center Inc

  • Clinic/Center
  • Erie, PA
  • NPI 1063571750

  Psychiatry

  Medicare reassignment Care Compare group NPD
• Medical Associates of Erie

  • Internal Medicine Physician
  • Erie, PA
  • NPI 1649205816
  Medicare reassignment NPD
• Millcreek Community Hospital

  • Psychiatry Physician
  • Erie, PA
  • NPI 1245865815
  Medicare reassignment NPD
• Millcreek Community Hospital

  • Psychiatry Physician
  • Erie, PA
  • NPI 1396692422
  Medicare reassignment NPD
• Millcreek Community Hospital

  • Psychologist
  • Erie, PA
  • NPI 1508198748
  Medicare reassignment NPD
• Millcreek Community Hospital

  • Family Medicine Physician
  • Erie, PA
  • NPI 1568097939
  Medicare reassignment NPD
• Christine Barr

  • Social Worker
  • Erie, PA
  • NPI 1629748702
  NPD
• Medical Associates of Erie

  • Family Medicine Physician
  • Erie, PA
  • NPI 1164304903
  NPD
• Medical Associates of Erie

  • Family Medicine Physician
  • Erie, PA
  • NPI 1740308899
  NPD
• Millcreek Community Hospital

  • Family Medicine Physician
  • Erie, PA
  • NPI 1053198382
  NPD
• Millcreek Community Hospital

  • General Acute Care Hospital
  • Erie, PA
  • NPI 1548263973

  Psychiatry

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Millcreek Community Hospital

  • Internal Medicine Physician
  • Erie, PA
  • NPI 1245126762

  Hospital

  Care Compare affiliation
• Millcreek Community Hospital

  • Cardiovascular Disease Physician
  • Erie, PA
  • NPI 1245865583

  Hospital

  Care Compare affiliation
• Millcreek Community Hospital

  • Family Medicine Physician
  • Waterford, PA
  • NPI 1326934746

  Hospital

  Care Compare affiliation
• Millcreek Community Hospital

  • Ophthalmology Physician
  • Erie, PA
  • NPI 1366338881

  Hospital

  Care Compare affiliation
• Millcreek Community Hospital

  • General Acute Care Hospital
  • Erie, PA
  • NPI 1548263973
  Care Compare affiliation
• Millcreek Community Hospital

  • Geriatric Medicine (Internal Medicine) Physician
  • Erie, PA
  • NPI 1831085356

  Hospital

  Care Compare affiliation
• Millcreek Community Hospital

  • Family Medicine Physician
  • Erie, PA
  • NPI 1851287288

  Hospital

  Care Compare affiliation
• Millcreek Community Hospital

  • Family Medicine Physician
  • Erie, PA
  • NPI 1952297467

  Hospital

  Care Compare affiliation
• Millcreek Community Hospital

  • Orthopaedic Surgery Physician
  • Erie, PA
  • NPI 1952935892

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1639794589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LECOM PL",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165052571",
            "telephone_number": "814-868-2507",
            "fax_number": "814-868-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5515 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165092695",
            "telephone_number": "814-864-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "RICHARD",
        "middle_name": "JOHN",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-16",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "OT020105",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "OS022870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Alexandra Wagner, PA-C
• Kayleigh Wagner, LAT, ATC
• Kelly Marie Wagner, LCSW
• Linda Wagner
• Molly Marie Wagner, LCSW
• Marlene Wahlster
• Allison J Wahoff, D.O.
• Michael Steven Wahoff, PT
• Leslie Ann Waid, CRNP
• Wal-Mart Stores East LP

• Psychiatry Physician in Erie, PA
• Providers in Erie, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.