Daniel R. Wagner, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

2007009239 Issued in MO

Practice address

11188 Tesson Ferry Rd Ste 202
Saint Louis, MO 63123-6962

Phone

(314) 729-7547

Fax

(314) 729-7547

NPI assigned

May 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

NeurologyAlso: Sleep Medicine

Education

Other, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/1d6c927a-8fe8-4114-911c-8498e2eb642e/
• FHIR API: https://fhir4.healow.com/fhir/r4/AHJFAA

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.

• Neurology & Sleep Medicine Associates

  • Neurology Physician
  • Saint Louis, MO
  • NPI 1841651890
  NPD (past) Authorized official
• Caduceus Corporation

  • Pulmonary Disease Physician
  • Saint Louis, MO
  • NPI 1295785848
  NPD (past)
• Fall Prevention Networks, LLC

  • Specialist
  • Saint Louis, MO
  • NPI 1851621890
  NPD (past)
• Weill Medical College of Cornell University

  • Psychologist
  • White Plains, NY
  • NPI 1538352026
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1992751036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11888 TESSON FERRY RD.",
            "address_2": "STE. 202",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63123",
            "telephone_number": "314-729-7547",
            "fax_number": "314-729-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11188 TESSON FERRY RD STE 202",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631236962",
            "telephone_number": "314-729-7547",
            "fax_number": "314-729-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "DANIEL",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2021-09-21",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2007009239",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "129759",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Michael Wagner, ATC
• Caitlin E Wagner, AA
• Carole Sue Wagner, O.T.R./L
• Corey Allen Wagner, MD
• Daniel Lee Wagner, MD
• David Francis Wagner, RN
• Elizabeth Ann Wagner, AGNP
• Emma Wagner, FNP-BC
• Jadee Wagner, MD
• Jason Cass Wagner, MD

• Neurology Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Neurology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.
• 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.