Arnold L Wagner Jr., M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

036043335 Issued in IL

Practice address

2500 Ridge Ave Ste 311
Evanston, IL 60201-2477

Phone

(847) 869-5800

Fax

(847) 869-9315

NPI assigned

Aug 22, 2005

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21117/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 and National Provider Directory roles.

• Midwest Center for Women'S Healthcare

  • Obstetrics & Gynecology Physician
  • Evanston, IL
  • NPI 1477673085
  NPD (past)
• Midwest Center for Women'S Healthcare

  • Obstetrics & Gynecology Physician
  • Evanston, IL
  • NPI 1689971665
  NPD (past)

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505347200000",
    "number": "1821080201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 SKOKIE BLVD STE 400",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622820",
            "telephone_number": "847-562-1410",
            "fax_number": "847-562-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 RIDGE AVE STE 311",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012477",
            "telephone_number": "847-869-5800",
            "fax_number": "847-869-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "ARNOLD",
        "middle_name": "L",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2017-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036043335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Reed Wachter, MD
• Christian Wacker
• Elizabeth Wade
• Kanika Wadhwa, LCPC
• Rahul Wadke, M.D.
• Jerome Peter Wagner, PH.D.
• Suleimaan Waheed, DO
• Michael S. Wahl, MD
• Dyson Wake, PHARM.D.
• Wakeful Psychological and Consulting Services, PLLC

• Obstetrics & Gynecology Physician in Evanston, IL
• Providers in Evanston, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2017; 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.