Munachim Ifeoma Wagner, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

D77703 Issued in MD

Practice address

57 W Timonium Rd Ste 305
Timonium, MD 21093-3106

Phone

(443) 275-2068

Fax

(410) 705-0074

NPI assigned

Apr 19, 2010

Last updated

Jan 12, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Munachim Ifeoma Uyanwune Former name

Medicare fee-for-service enrollment

Enrolled in MD, PA2 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 2

Specialty

Psychiatry

Education

University of Connecticut School of Medicine, 2010

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

PhilhavenGroup PAC ID 8729991419, 93 clinicians

Miu Group LLCGroup PAC ID 8527446418, 3 clinicians

York HospitalGroup PAC ID 2961307467, 94 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations (25 of 29)

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25239/brand/1/csg/1/fhir/r4

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.

• Miu Group LLC

  dba MIU Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lutherville Timonium, MD
  • NPI 1396401022
  Medicare reassignment Care Compare group NPD
• Philhaven

  dba WellSpan Philhaven

  • Psychiatry Physician
  • Lebanon, PA
  • NPI 1043316441
  Medicare reassignment Care Compare group
• York Hospital

  • General Acute Care Hospital
  • York, PA
  • NPI 1326060492
  Medicare reassignment Care Compare group
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  MD, Psychiatry

  Medicare reassignment NPD
• Wellspan Medical Group

  dba WellSpan Digestive Health

  • Gastroenterology Physician
  • York, PA
  • NPI 1669770004
  Medicare reassignment
• Aspire Wellness Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Nottingham, MD
  • NPI 1780971630
  NPD
• Philhaven

  dba WellSpan Philhaven

  • Clinic/Center
  • Lebanon, PA
  • NPI 1275758393
  NPD
• Philhaven

  dba WellSpan Philhaven

  • Psychiatric Hospital
  • Lebanon, PA
  • NPI 1972598076
  NPD
• Wellspan Medical Group

  dba WellSpan Pediatric Surgical Specialist

  • Pediatric Surgery Physician
  • York, PA
  • NPI 1104799428
  NPD
• Wellspan Medical Group

  dba WellSpan Family Medicine

  • Family Medicine Physician
  • York, PA
  • NPI 1740036706
  NPD
• Philhaven

  dba WellSpan Philhaven

  • Clinic/Center
  • Lebanon, PA
  • NPI 1508081639
  NPD (past)
• Wellspan Medical Group

  dba Wellspan Readycare

  • Family Medicine Physician
  • York, PA
  • NPI 1598862716
  NPD (past)

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1710203591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 W TIMONIUM RD STE 305",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210933106",
            "telephone_number": "443-275-2068",
            "fax_number": "410-705-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 W TIMONIUM RD STE 305",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210933106",
            "telephone_number": "443-275-2068",
            "fax_number": "410-705-0074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176036803",
            "country_code": "US",
            "telephone_number": "717-299-1522",
            "fax_number": "717-299-2840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Edgar St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174032862",
            "country_code": "US",
            "telephone_number": "717-851-1500",
            "fax_number": "717-851-1515",
            "country_name": "United States",
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        },
        {
            "address_1": "112 N 7th St",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011720",
            "country_code": "US",
            "telephone_number": "717-267-7771",
            "fax_number": "717-267-7427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Schneider Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170464875",
            "country_code": "US",
            "telephone_number": "717-376-1020",
            "fax_number": "717-675-2029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Lambourne Rd Apt 402",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212042844",
            "country_code": "US",
            "telephone_number": "410-938-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 W James St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176032979",
            "country_code": "US",
            "telephone_number": "717-509-0625",
            "fax_number": "717-839-2842",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "344 N Reading Rd",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175221651",
            "country_code": "US",
            "telephone_number": "717-738-1125",
            "fax_number": "717-738-0606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 V Twin Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Gettysburg",
            "state": "PA",
            "postal_code": "173257878",
            "country_code": "US",
            "telephone_number": "717-339-2710",
            "fax_number": "717-208-8455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 E Main St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682353",
            "country_code": "US",
            "telephone_number": "717-765-4000",
            "fax_number": "717-553-1504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Monument Rd",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174035023",
            "country_code": "US",
            "telephone_number": "717-812-4395",
            "fax_number": "717-747-2994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "605 S George St Ste 100",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174013164",
            "country_code": "US",
            "telephone_number": "717-356-5060",
            "fax_number": "717-798-9641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 Eden Rd",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176014712",
            "country_code": "US",
            "telephone_number": "717-399-7381",
            "fax_number": "717-391-7517",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "780 Eden Rd",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176014275",
            "country_code": "US",
            "telephone_number": "717-735-7770",
            "fax_number": "717-735-7779",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "781 Far Hills Dr Ste 600",
            "address_purpose": "LOCATION",
            "city": "New Freedom",
            "state": "PA",
            "postal_code": "173498404",
            "country_code": "US",
            "telephone_number": "717-812-2560",
            "fax_number": "717-812-2569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "964 Isabel Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170427482",
            "country_code": "US",
            "telephone_number": "717-274-9777",
            "fax_number": "717-274-9815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 S George ST",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174033676",
            "country_code": "US",
            "telephone_number": "717-851-2304",
            "fax_number": "717-851-3374",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "176 S Coldbrook Ave",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172012712",
            "country_code": "US",
            "telephone_number": "717-267-7480",
            "fax_number": "717-775-5015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "169 Martin Ave",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175221734",
            "country_code": "US",
            "telephone_number": "717-733-0311",
            "fax_number": "717-738-6735",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Roosevelt Ave",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174013380",
            "country_code": "US",
            "telephone_number": "717-356-5430",
            "fax_number": "717-205-2852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "147 Gettys St",
            "address_purpose": "LOCATION",
            "city": "Gettysburg",
            "state": "PA",
            "postal_code": "173252534",
            "country_code": "US",
            "telephone_number": "717-334-2121",
            "fax_number": "717-337-4314",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1407 Williams Rd",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174029000",
            "country_code": "US",
            "telephone_number": "717-845-2482",
            "fax_number": "717-845-2621",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "283 S Butler Rd",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170428939",
            "country_code": "US",
            "telephone_number": "717-270-2405",
            "fax_number": "717-270-2442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "252 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170426111",
            "country_code": "US",
            "telephone_number": "717-821-8017",
            "fax_number": "717-270-2401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 Oregon Pike",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176014890",
            "country_code": "US",
            "telephone_number": "717-735-1954",
            "fax_number": "717-569-3045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Monument Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174035051",
            "country_code": "US",
            "telephone_number": "717-851-7575",
            "fax_number": "717-812-5154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1886 Rohrerstown Rd",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176012322",
            "country_code": "US",
            "telephone_number": "717-735-1920",
            "fax_number": "717-735-1921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "239 S Butler Rd",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170428939",
            "country_code": "US",
            "telephone_number": "717-270-2422",
            "fax_number": "717-279-2792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "MUNACHIM",
        "middle_name": "IFEOMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-19",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D77703",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD476233",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MUNACHIM",
            "last_name": "UYANWUNE",
            "middle_name": "IFEOMA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Psychiatry Physician in Timonium, MD
• Providers in Timonium, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.