Wagdy A Bagous, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

0101233959 Issued in VA

Practice address

473 Moon Ridge LN
Winchester, VA 22603-3584

Phone

(540) 327-9067

Fax

(540) 667-9171

NPI assigned

Nov 14, 2005

Last updated

Nov 5, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

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.

• Mac Anesthesia Associates PLLC

  • Anesthesiology Physician
  • Winchester, VA
  • NPI 1821332487
  Authorized official Same address or phone
• Winchester Anesthesiologists Inc

  • Anesthesiology Physician
  • Winchester, VA
  • NPI 1700841137
  NPD (past)
• Ut Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Memphis, TN
  • NPI 1780676650
  NPD (past)
• Ut Medical Group, Inc.

  • Ophthalmology Physician
  • Memphis, TN
  • NPI 1326919200
  NPD (past)

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352073600000",
    "number": "1831170125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 MOON RIDGE LN",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226033584",
            "telephone_number": "540-327-9067",
            "fax_number": "540-667-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 MOON RIDGE LN",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226033584",
            "telephone_number": "540-327-9067",
            "fax_number": "540-667-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGOUS",
        "first_name": "WAGDY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2012-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101233959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010012660",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne M Bacon, MD
• Martin Frederick Baechler
• Rachel Baez
• Mary Leanne Baginski, RN
• Trine N Bagous, MD
• Harjit S Bagri, MD
• Menbere Bahru, MD
• Khurram Muhammad Baig, DO
• Ashley Amber Bailey, MSW, LCSW
• Jenna Bailey

• Anesthesiology Physician in Winchester, VA
• Providers in Winchester, VA by specialty
• Anesthesiology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.