John Thomas Wagner, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC003667R Issued in PA

Practice address

819 Mount Royal Blvd
Pittsburgh, PA 15223-1244

Phone

(412) 492-9006

Fax

(412) 492-0938

NPI assigned

Jul 27, 2005

Last updated

Jun 15, 2010By the provider in NPPES

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

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Independence Health System Clarion Hospital Hospital, Clarion, PA, CCN 390093
• Penn Highlands Brookville Hospital, Brookville, PA, CCN 391312

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ankle and Foot Associates

  • Podiatrist
  • Brookville, PA
  • NPI 1790785392
  Medicare reassignment NPD

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

• Brookville Hospital

  dba Allegheny Health Center

  • Family Medicine Physician
  • Brookville, PA
  • NPI 1083762876

  Hospital

  Care Compare affiliation
• Brookville Hospital

  dba Brookville Physicians

  • Multi-Specialty Clinic/Center
  • Brookville, PA
  • NPI 1578733093

  Hospital

  Care Compare affiliation
• Brookville Hospital

  dba Penn Highlands Brookville

  • Multi-Specialty Clinic/Center
  • Brookville, PA
  • NPI 1629697925

  Hospital

  Care Compare affiliation
• Brookville Hospital

  dba Penn Highlands Brookville

  • Critical Access Hospital
  • Brookville, PA
  • NPI 1760452924
  Care Compare affiliation
• Clarion Hospital

  • General Acute Care Hospital
  • Clarion, PA
  • NPI 1265422901
  Care Compare affiliation
• Clarion Hospital

  • Psychiatric Hospital Unit
  • Butler, PA
  • NPI 1861329153
  Care Compare affiliation

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276560000000",
    "number": "1821098351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 MOUNT ROYAL BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152231244",
            "telephone_number": "412-492-9006",
            "fax_number": "412-492-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 MOUNT ROYAL BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152231244",
            "telephone_number": "412-492-9006",
            "fax_number": "412-492-0938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "JOHN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-27",
        "last_updated": "2010-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC003667R",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC003667R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001408328009",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Jo Wagner, M.D.
• Haley Wagner
• Ian Robert Wagner, DC
• Jeffrey Alan Wagner, RPH
• Jillian Wagner, RDN, LDN
• Julie M. Wagner, PA-C
• Justine Wagner
• Lauren Elizabeth Wagner, M.S., BCBA, LBS
• Mackenzie Nicole Wagner
• Meredith Wall Wagner, M.D.

• Podiatrist in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.