Individual provider Active NPI

Steven C Wagner, M.D.

  • Vascular & Interventional Radiology Physician
  • Doylestown, PA
National Provider Identifier
1659366896
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
MD421046 Issued in PA
Practice address
595 W State St
Doylestown, PA 18901-2554
Phone
(215) 345-2290
Fax
(215) 345-2596
NPI assigned
Sep 14, 2005
Last updated
Aug 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD421046 PA
Vascular & Interventional Radiology Physician 2085R0204X MD421046 PA Primary

Addresses

Primary practice location

595 W State St
Doylestown, PA 18901-2554

Mailing address

128 Griffith CT
Perkasie, PA 18944-3602
Phone (215) 249-1930

Other practice location 1

2451 Grant Ave
Philadelphia, PA 19114-1031
Phone (215) 464-8050

Other practice location 2

10160 Bustleton Ave
Philadelphia, PA 19116-3749
Phone (215) 827-8200

Other practice location 3

4900 Frankford Ave
Philadelphia, PA 19124-2618
Phone (215) 831-2063

Other practice location 4

380 N Oxford Valley Rd
Langhorne, PA 19047-8304
Phone (215) 949-5111

Other practice location 5

10800 Knights Rd
Philadelphia, PA 19114-4200
Phone (215) 612-4811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, IL, AZ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040719000868 PA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 0143209544 Reassigns benefits to 4 organizations
I20190213002612 IL Practitioner - Interventional Radiology 0143209544 Reassigns benefits to 1 organization
I20190502001560 AZ Practitioner - Interventional Radiology 0143209544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Jefferson Medical College of Thomas Jefferson University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10160 Bustleton Ave E
Jefferson Outpatient Imaging
Philadelphia, PA 19116-3749
Phone (215) 503-4900

10800 Knights Rd
Philadelphia, PA 19114-4200
Phone (215) 612-4811

1200 Old York Rd
Abington, PA 19001-3720
Phone (215) 481-2222

2301 S Broad St
Philadelphia, PA 19148-3542

380 N Oxford Valley Rd
Langhorne, PA 19047-8304
Phone (215) 949-5111

4900 Frankford Ave
Philadelphia, PA 19124-2618
Phone (215) 831-2063

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Associates in Healthcare, Inc Diagnostic Radiology CurrentSince Nov 7, 2020 Accepting new patients
Jefferson University Radiology Associates, LLC Diagnostic Radiology CurrentSince Dec 8, 2020 Accepting new patients
Jefferson University Physicians Diagnostic Radiology CurrentSince Sep 1, 2019 Accepting new patients
Parlee & Tatem Radiologic Associates, LTD. Diagnostic Radiology CurrentSince Jun 1, 2005 Accepting new patients
City of Hope Medical Group of Illinois PLLC CurrentSince Dec 23, 2018 Accepting new patients
Jefferson University Radiology Associates LLC Diagnostic Radiology CurrentSince Dec 8, 2020 Accepting new patients
City of Hope Medical Group of Arizona LLC Diagnostic Radiology CurrentSince Jan 2, 2019 Accepting new patients
Methodist Associates in Healthcare, Inc CurrentSince Nov 7, 2020 Accepting new patients
Diagnostic Imaging Inc Diagnostic Radiology Past Accepting new patients
South Jersey Radiology Associates P a Diagnostic Radiology Past Accepting new patients
Doylestown Radiology Group LP Diagnostic Radiology Past Accepting new patients

Locations

14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000

2361 Paysphere Cir
Chicago, IL 60674
Phone (847) 746-4358

6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542

2520 Elisha Ave
Zion, IL 60099
Phone (800) 322-9183

100 Carnie Blvd
Ste B5
Voorhees, NJ 08043
Phone (856) 751-0123

595 W State St
Doylestown, PA 18901
Phone (215) 345-2200

380 N Oxford Valley Rd
Langhorne, PA 19047
Phone (215) 949-5000

10160 Bustleton Ave
Philadelphia, PA 19116
Phone (215) 827-8200

10160 Bustleton Ave
Ste E
Philadelphia, PA 19116
Phone (215) 503-4900

10800 Knights Rd
Philadelphia, PA 19114
Phone (215) 612-2610

2301 S Broad St
Ste 102
Philadelphia, PA 19148
Phone (215) 952-5175

2451 Grant Ave
Philadelphia, PA 19114
Phone (215) 464-8050

3 Crescent Dr
Ste 1002
Philadelphia, PA 19112
Phone (215) 503-4900

3998 Red Lion Rd
Philadelphia, PA 19114
Phone (215) 612-4060

4900 Frankford Ave
Philadelphia, PA 19124
Phone (215) 612-2610

850 Walnut St
Philadelphia, PA 19107
Phone (215) 503-4900

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1659366896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 GRIFFITH CT",
            "city": "PERKASIE",
            "state": "PA",
            "postal_code": "189443602",
            "telephone_number": "215-249-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 W STATE ST",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012554",
            "telephone_number": "215-345-2290",
            "fax_number": "215-345-2596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2451 Grant Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191141031",
            "country_code": "US",
            "telephone_number": "215-464-8050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10160 Bustleton Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191163749",
            "country_code": "US",
            "telephone_number": "215-827-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4900 Frankford Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191242618",
            "country_code": "US",
            "telephone_number": "215-831-2063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "380 N Oxford Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Langhorne",
            "state": "PA",
            "postal_code": "190478304",
            "country_code": "US",
            "telephone_number": "215-949-5111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10800 Knights Rd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191144200",
            "country_code": "US",
            "telephone_number": "215-612-4811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "STEVEN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD421046",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PA",
            "license": "MD421046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.