Active NPI
Noel David Wagner, M.D.
- Emergency Medicine Physician
- Saginaw, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 4301093040
- Practice address
- 900 Cooper Ave
Saginaw, MI 48602-5182 - Phone
- (989) 583-6521
- Fax
- (989) 583-4134
- NPI assigned
- Feb 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4301093040 | MI | Primary |
Addresses
Primary practice location
900 Cooper Ave
Saginaw, MI 48602-5182
Mailing address
1447 N Harrison St
Saginaw, MI 48602-4727
Phone (989) 583-2833
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 162798602 | Medicaid | TX | |
| 1952374597 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Texas Medical Branch at Galveston, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
900 Cooper Ave
Saginaw, MI 48602-5182
Phone (989) 583-6521
Hospital & facility affiliations
- Covenant Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301093040 | MI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Center, Inc. | Emergency Medicine | Current | Accepting new patients |
| Covenant Medical Center, Inc | Current | Accepting new patients | |
| San Angelo Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| East Texas Medical Center Healthcare Associates | Emergency Medicine | Past | Accepting new patients |
| Valley Medical Facilities Inc | Emergency Medicine | Past | Accepting new patients |
| Southwestern Emergency Physicians PC | Emergency Medicine | Past | Accepting new patients |
Locations
1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220
900 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6122
Interoperability endpoints
- nwagnermd1903@direct.covenanthealthcare.com
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Saginaw, MI
- NPI 1972590412
-
- Family Medicine Physician
- Saginaw, MI
- NPI 1619412376
-
- Emergency Medicine Physician
- Tyler, TX
- NPI 1326082892
-
- Emergency Medicine Physician
- San Angelo, TX
- NPI 1134177975
-
- Emergency Medicine Physician
- Albany, GA
- NPI 1356336986
-
- General Acute Care Hospital
- Sewickley, PA
- NPI 1588770416
Emergency Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saginaw, MI
- NPI 1588656946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409097600000",
"number": "1952374597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1447 N HARRISON ST",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486024727",
"telephone_number": "989-583-2833",
"fax_number": "989-583-1440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 COOPER AVE",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486025182",
"telephone_number": "989-583-6521",
"fax_number": "989-583-4134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "NOEL",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-13",
"last_updated": "2014-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301093040",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "162798602",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1952374597",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.