DR. PETER B WAGNER (NPI# 1598734196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598734196 |
| Entity Type | Individual |
| Full Name | DR. PETER B WAGNER |
| Credential | D.O. |
| Practice Address |
600 Moye Blvd Greenville NC 27834-4300 |
| Mailing Address |
Po Box 751069 Charlotte NC 28275-1069 |
| Practice Telephone | 2527444400 |
| Mailing Telephone | 2527444400 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2009-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
9500471 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | RAILROAD MEDICARE | 060033560 | 01 |
| NC | MEDCOST | 58761 | 01 |
| NC | BCBS | 85205 | 01 |
| NC | 8985205 | 05 | |
| COMMERCIAL PAYERS | 561638624 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235676008 | Peter Louis Wagner | Dentist | 1292 S Market Blvd, Chehalis, WA 98532-3645 | 2017-01-31 |
| 1285995100 | Peter J Wagner | Orthopaedic Surgery | 2 Dudley St Ste 200, Providence, RI 02905 | 2012-06-07 |
| 1245440841 | Peter Wagner | Internal Medicine | 350 Heritage Way, Suite 1100, Kalispell, MT 59901-3158 | 2007-05-23 |
| 1609992932 | Peter C. Wagner | Dentist | 1292 S Market Blvd, Chehalis, WA 98532-3645 | 2007-03-21 |
| 1548356280 | Peter Louis Wagner | Dentist | 10535 N Port Washington Rd, Suite 102, Mequon, WI 53092-5583 | 2006-10-04 |
| 1174531388 | Peter William Wagner | Surgery | 30 W Mccreight Ave, Suite 208, Springfield, OH 45504-1842 | 2006-08-03 |
| 1659341865 | Peter C Wagner | Family Medicine | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2006-01-23 |
| 1396729539 | Peter J Wagner | Internal Medicine | 1221 Whipple St, Eau Claire, WI 54703-5270 | 2005-12-01 |
| 1962403774 | Peter John Wagner | Psychiatry & Neurology | 39700 Bob Hope Dr, Suite 216, Rancho Mirage, CA 92270-3267 | 2005-08-02 |
| Street Address |
600 MOYE BLVD |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467455600 | Fiona Cook | Internal Medicine | 600 Moye Blvd, Ecu Physicians Endocrinology, Greenville, NC 27834-4300 | 2005-05-23 |
| 1851904999 | Tyler Nigele Edgerton | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd, Greenville, NC 27834-4300 | 2020-08-28 |
| 1366054272 | Mallory Claire Savidge | Social Worker | 600 Moye Blvd, Greenville, NC 27834-4300 | 2020-08-21 |
| 1336759109 | Jessica Veale | Physician Assistant | 600 Moye Blvd, Greenville, NC 27834-4300 | 2020-08-05 |
| 1942819990 | Ryan Grabiec | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd, Greenville, NC 27834-4300 | 2020-07-27 |
| 1215545157 | Rewati Bhattarai | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd, Greenville, NC 27834-4300 | 2020-07-16 |
| 1629686860 | Amanda Foy | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd, Greenville, NC 27834-4300 | 2020-07-14 |
| 1477179927 | Rebecca Ann Baietto | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd, Greenville, NC 27834 | 2020-06-21 |
| 1720604416 | Dylan Joseph Defauw | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd, Greenville, NC 27834-4300 | 2020-06-18 |
| 1003432790 | Joshua L Mcdaniel | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd, Greenville, NC 27834-4300 | 2020-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657663 | Cardiosleep Diagnostics | Internal Medicine | 1862 Old Fort Rd, Greenville, NC 27834-9373 | 2020-04-06 |
| 1760770333 | Gregory Harris | Internal Medicine | 2340 Hemby Ln Ste 100, Greenville, NC 27834-3792 | 2011-07-18 |
| 1457641466 | Christopher French | Internal Medicine | 4211 Joe Ramsey Blvd E Ste 108, Greenville, TX 75401-7858 | 2011-04-11 |
| 1528225356 | Matthew B Sellers | Internal Medicine | 2 Innovation Dr., Ste. 400, Greenville, SC 29607-5270 | 2008-05-20 |
| 1093822421 | Lee A. Surkin | Internal Medicine | 2459 Emerald Pl Ste 102, Greenville, NC 27834-5739 | 2006-08-23 |
| 1992716732 | Kenneth A Hahn | Internal Medicine | 1306 Hospital St, Greenville, MS 38703-3215 | 2006-08-10 |
| 1578582441 | Cynthia Lynn Kues | Internal Medicine | 404 Durley St, Greenville, IL 62246-1504 | 2006-07-19 |
| 1326077058 | Michael Mansour | Internal Medicine | 1315 E Union St, Greenville, MS 38703-3245 | 2006-07-03 |
| 1427094432 | Kathleen Anne Mansour | Internal Medicine | 1513 E Union St, Greenville, MS 38703-3249 | 2006-06-20 |
| 1952364200 | James L Young Jr. | Internal Medicine | 14 Edgewood Drive, Greenville, SC 29605 | 2006-04-08 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27834 |
Please comment or provide details below to improve the information on DR. PETER B WAGNER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.