William Wagner, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

13858841-1205 Issued in UT

Practice address

161 W 200 N Ste 200
St George, UT 84770-7386

Phone

(435) 986-2020

Fax

(435) 652-1516

NPI assigned

Jun 27, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in UT, NV2 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

Ophthalmology

Education

Virginia Commonwealth University, School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sharon Richens MD Eye Physician and Surgeon PCGroup PAC ID 4385605799, 8 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Sharon Richens MD Eye Physician & Surgeon PC

  • Ophthalmology Physician
  • St George, UT
  • NPI 1891892063

  NV

  Medicare reassignment Care Compare group NPD
• Sharon Richens MD Eye Physician & Surgeon PC

  • Ophthalmology Physician
  • Mesquite, NV
  • NPI 1023507928
  NPD (past)

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1861053050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 W 200 N STE 200",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847707386",
            "telephone_number": "435-986-2020",
            "fax_number": "435-652-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 W 200 N STE 200",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847707386",
            "telephone_number": "435-986-2020",
            "fax_number": "435-652-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-27",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NE",
            "license": "8641",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35.147743",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "13858841-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wagner Chiropractic & Rehabilitation P.C.
• Katherine Marie Wagner
• Michael Wagner, DMD
• Nicole J Wagner, FNP
• Ward Wallace Wagner, D.C.
• William J Wagner, MD
• Woodrow Wilson Wagner III, D.M.D.
• John Wahlen
• Wade Lee Wahlquist, RN, BSN
• Adam Wahlstrom, D.O

• Ophthalmology Physician in St George, UT
• Providers in St George, UT by specialty
• Ophthalmology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.