Ethan Wagner, DO

ActiveIndividual ProviderEmergency Medicine
NPI issued: July 20, 2005

Quick Facts

NPI Number
1386643310
TypeIndividual
StatusActive
SpecialtyEmergency Medicine
Taxonomy207P00000X — Emergency Medicine
Phone
(765) 646-8439
StateIN

NPI Validation Status: Verified

Valid 10-digit NPI number (1386643310)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (July 20, 2005)
Data source: CMS NPPES

Provider Overview

ETHAN WAGNER, DO is a Emergency Medicine provider based in Anderson, IN who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1386643310
Provider TypeIndividual Provider
GenderMale
CredentialDO
StatusActive
Enumeration DateJuly 20, 2005

Practice Location

CityAnderson
StateIN
ZIP Code46016-4337
Phone(765) 646-8439

Specialties & Licenses

★ Primary
SpecialtyEmergency Medicine
Taxonomy Code207P00000X
License StateIN

Mailing Address

CityAnderson
StateIN
ZIP Code46016-4337
Phone(765) 646-8439
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1386643310 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1386643310for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1386643310 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Emergency Medicine

Emergency Medicine physicians specialize in the immediate decision-making and action necessary to prevent death or further disability in patients experiencing acute illness or trauma.

📊
73,496
Emergency Medicine Providers in the US

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Sarah Long, APRN

Nurse Practitioner

Carl Sofley, MD

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People Also Ask

What is Ethan Wagner's NPI number?
Ethan Wagner's NPI number is 1386643310, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Ethan Wagner's NPI currently active?
Yes, Ethan Wagner's NPI status is Active as of the latest CMS NPPES database updates.
What does Ethan Wagner specialize in?
Ethan Wagner specializes in Emergency Medicine. The healthcare taxonomy code associated with this specialty is 207P00000X.
Where does Ethan Wagner practice?
Ethan Wagner practices in Anderson, IN 46016-4337.
When was Ethan Wagner's NPI issued?
Ethan Wagner's NPI was issued on July 20, 2005.
What is Ethan Wagner's provider type?
Ethan Wagner is registered as an Individual Provider under CMS NPI Type 1.