Jessica L Wagner, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

H70799 Issued in MD

Practice address

2730 University Blvd
Suite 104
Wheaton, MD 20902-1979

Phone

(301) 942-8799

Fax

(301) 933-8554

NPI assigned

Jan 27, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Anesthesia Connections-Virginia, LLC

  • Anesthesiology Physician
  • Midlothian, VA
  • NPI 1922337930
  Medicare reassignment NPD
• Commonwealth Anesthesia Associates, P.C.

  • Anesthesiology Physician
  • Richmond, VA
  • NPI 1548275308
  Medicare reassignment NPD

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307059200000",
    "number": "1700024940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 UNIVERSITY BLVD",
            "address_2": "SUITE 104",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209021979",
            "telephone_number": "301-942-8799",
            "fax_number": "301-933-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 UNIVERSITY BLVD",
            "address_2": "SUITE 104",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209021979",
            "telephone_number": "301-942-8799",
            "fax_number": "301-933-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "JESSICA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-27",
        "last_updated": "2011-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "H70799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virant Diagnostics, Inc
• Visionworks, Inc.
• Jesus Vivar, DMD
• Ilana Volansky, PHARMD
• Vuewell, LLC
• Khalfani Dume Walker, DMD
• Meiling Wang, L.AC.
• Linda Margarita Washington, MSN,APRN,PMH,BC
• Karin Gillespie Weber, L.C.P.C.
• Katelyn Weeks Mills

• Anesthesiology Physician in Wheaton, MD
• Providers in Wheaton, MD by specialty
• Anesthesiology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.