Steven Wagner, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

35037285 Issued in OH

Practice address

45 St Lawrence Dr
Suite 201
Tiffin, OH 44883-8310

Phone

(419) 455-8501

Fax

(419) 455-8504

NPI assigned

Sep 21, 2006

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

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

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HCDCBA

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.

• Northwest Ohio Gastroenterology Associates Inc.

  • Gastroenterology Physician
  • Toledo, OH
  • NPI 1306945084
  NPD
• Mercy Health - Tiffin Hospital LLC

  • Cardiovascular Disease Physician
  • Tiffin, OH
  • NPI 1215951645
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404777600000",
    "number": "1841399441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 ST LAWRENCE DR",
            "address_2": "SUITE 201",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448838310",
            "telephone_number": "419-455-8501",
            "fax_number": "419-455-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 ST LAWRENCE DR",
            "address_2": "SUITE 201",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448838310",
            "telephone_number": "419-455-8501",
            "fax_number": "419-455-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2014-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35037285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0413127",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wade E Young MD Inc (Tiffin Eye Center)
• Alan Wagner
• Branden J Wagner
• Dual Aree Wagner, CNP
• Natalie Ann Wagner
• Wal-Mart Stores East LP (Walmart Pharmacy 10-1622)
• Wal-Mart Stores East, LP (Vision Center 30-1622)
• Lindsey Waldock
• Amanda Leigh Wallace, M.A. CF-SLP
• Beth Walliser

• Gastroenterology Physician in Tiffin, OH
• Providers in Tiffin, OH by specialty
• Gastroenterology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; 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.