Christopher Wagner, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD 435391 Issued in PA

Practice address

6655 Sykesville Rd
Sykesville, MD 21784-7966

Phone

(410) 970-7000

NPI assigned

May 24, 2007

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

Enrolled in MD

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 1

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.

• Comptroller of Maryland Central Payroll Bureau

  • Psychiatric Hospital
  • Cambridge, MD
  • NPI 1841281680
  Medicare reassignment NPD
• Good Medicine, PC

  • Family Medicine Physician
  • Odenton, MD
  • NPI 1689220048
  NPD Authorized official
• Aa County Department of Health

  • Methadone Clinic
  • Glen Burnie, MD
  • NPI 1316345051
  NPD (past)
• Anne Arundel County Department of Health

  • Methadone Clinic
  • Annapolis, MD
  • NPI 1720438591
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1861603946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 MAPLE RD",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541122",
            "telephone_number": "410-206-7190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 SYKESVILLE RD",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217847966",
            "telephone_number": "410-970-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Wade Ave",
            "address_purpose": "LOCATION",
            "city": "Catonsville",
            "state": "MD",
            "postal_code": "212284663",
            "country_code": "US",
            "telephone_number": "410-402-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Wade Ave",
            "address_purpose": "LOCATION",
            "city": "Catonsville",
            "state": "MD",
            "postal_code": "212284663",
            "country_code": "US",
            "telephone_number": "410-402-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD 435391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heng Ung, PHARMD
• Denise A. Valentine, PTA
• Vikas Verma
• Tracy N. Vickers, LCPC
• Brenda Lee Von Rautenkranz, LGPC
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Roy Wang, BSN, RN, CCRN, SRNA
• Rebecca Isaac Watkins
• Kaleigh Watson, LMSW

• Family Medicine Physician in Sykesville, MD
• Providers in Sykesville, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.