William Wagner MD PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

44925 Issued in AZ

Legal business name

WILLIAM WAGNER MD PC

Practice address

4135 S Power Rd Ste 120
Mesa, AZ 85212-3626

Phone

(330) 929-2580

Fax

(480) 361-7388

NPI assigned

Jul 28, 2011

Organization subpart

No

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

Authorized official

Name

William J Wagner, MD

Title

Owner

Phone

(330) 929-2580

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1311811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311811200000",
    "number": "1891073573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 468",
            "city": "HIGLEY",
            "state": "AZ",
            "postal_code": "852360468",
            "telephone_number": "330-929-2580",
            "fax_number": "480-361-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4135 S POWER RD STE 120",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852123626",
            "telephone_number": "330-929-2580",
            "fax_number": "480-361-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM WAGNER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-28",
        "last_updated": "2011-07-28",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-929-2580",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "44925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Willever, N.P.
• Jennyfer Nayeli Willford, NP
• Mihrage Anne Willhauck, NMD
• William E. Deyden, M.D, P.C
• William Kentopp and John J Bodine
• Patricia Williams-Shelman, RBT
• Aaron Landon Williams, MC, LPC, BHP
• Ana Williams, NP
• Andrew Robert Williams, MD
• Angela M. Williams, LCSW

• Neurology Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Neurology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2011; 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.