Justin Wagner (NPI# 1356608004, PAC ID# 4880832104) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1356608004 |
| PAC ID by PECOS | 4880832104 |
| Professional Enrollment ID | I20140918001508 |
| Full Name | Justin Wagner |
| Organization Legal Name | LUCIEN DIAGNOSTIC IMAGING INC |
| Address |
1211 Wilmington Ave New Castle PA 16105-2516 |
| Phone Number | 7246589001 |
| Gender | M |
| Medical School | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 6305741307 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390016 | JAMESON MEMORIAL HOSPITAL |
| 390178 | UPMC HORIZON |
| 390168 | BUTLER MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1211 Wilmington Ave, New Castle, PA 16105-2516 | 7246589001 | LUCIEN DIAGNOSTIC IMAGING INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 98% | |
| MIPS_EC_147_overall | Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy | 92% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 98% | |
| MIPS_EC_225_overall | Radiology: Reminder System for Screening Mammograms | 100% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 96% |
| Organization Legal Name | LUCIEN DIAGNOSTIC IMAGING INC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maximina Boutselis | Diagnostic Radiology | Lucien Diagnostic Imaging Inc | 7 Sutherland St, Andover, MA 01810-1410 |
| David P Dipaolo | Diagnostic Radiology | Lucien Diagnostic Imaging Inc | 119 Willow Springs Lane, Larry Jordan, Aledo, TX 76008-2767 |
| Jerald D Hansing | Diagnostic Radiology | Lucien Diagnostic Imaging Inc | 11185 State Route 88, Garrettsville, OH 44231-9601 |
| Theodore C Whitford | Diagnostic Radiology | Lucien Diagnostic Imaging Inc | 1211 Wilmington Ave, New Castle, PA 16105-2516 |
| Richard A Pica | Diagnostic Radiology | Lucien Diagnostic Imaging Inc | 1211 Wilmington Ave, New Castle, PA 16105-2516 |
| Albert B Shaw | Diagnostic Radiology | Lucien Diagnostic Imaging Inc | 1211 Wilmington Ave, New Castle, PA 16105-2516 |
| Felice Joseph Esposito | Diagnostic Radiology | Lucien Diagnostic Imaging Inc | 1211 Wilmington Ave, New Castle, PA 16105-2516 |
| Mark R Krakovitz | Diagnostic Radiology | Lucien Diagnostic Imaging Inc | 6245 N Federal Hwy, Suite 500, Fort Lauderdale, FL 33308-1905 |
| Terry Shaffer | Diagnostic Radiology | Lucien Diagnostic Imaging Inc | 1211 Wilmington Ave, New Castle, PA 16105-2516 |
| Street Address |
1211 WILMINGTON AVE |
| City | NEW CASTLE |
| State | PA |
| Zip | 16105-2516 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ankur Panchal | Hospitalist | University of Pittsburgh Physicians | 1211 Wilmington Ave, Jameson Hospital, New Castle, PA 16105-2516 |
| Diane A Collins | Certified Registered Nurse Anesthetist (crna) | University of Pittsburgh Physicians | 1211 Wilmington Ave, Jameson Hospital, New Castle, PA 16105-2516 |
| Sharon Richards | Certified Registered Nurse Anesthetist (crna) | University of Pittsburgh Physicians | 1211 Wilmington Ave, Jameson Hospital, New Castle, PA 16105-2516 |
| Theodore C Whitford | Diagnostic Radiology | Lucien Diagnostic Imaging Inc | 1211 Wilmington Ave, New Castle, PA 16105-2516 |
| Nora Flores-paras | Internal Medicine | 1211 Wilmington Ave, Upmc Jameson Hospital, New Castle, PA 16105-2516 | |
| Richard A Pica | Diagnostic Radiology | Lucien Diagnostic Imaging Inc | 1211 Wilmington Ave, New Castle, PA 16105-2516 |
| Angel R Toca | Pathology | University of Pittsburgh Physicians | 1211 Wilmington Ave, Jameson Hospital, New Castle, PA 16105-2516 |
| Ryan Flores | Nurse Practitioner | University of Pittsburgh Physicians | 1211 Wilmington Ave, Jameson Hospital, New Castle, PA 16105-2516 |
| Destin Difrischia | Certified Registered Nurse Anesthetist (crna) | University of Pittsburgh Physicians | 1211 Wilmington Ave, Department of Anesthesiology, New Castle, PA 16105-2516 |
| Gregory Brian Shaw | Anesthesiology | University of Pittsburgh Physicians | 1211 Wilmington Ave, New Castle, PA 16105-2516 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Beverly H Wu | Physician Assistant | Upmc Emergency Medicine Inc | 1211 Willmington Ave, Jameson Health System, New Castle, PA 16105 |
| Stephanie E Stebelton | Nurse Practitioner | Upmc Community Medicine Inc | 3124 Wilmington Rd, Noble House Medical Clinic, New Castle, PA 16105-1100 |
| Elbert R Acosta Ii | Internal Medicine | Upmc Community Medicine Inc | 3124 Wilmington Rd, Noble House Medical Clinic, New Castle, PA 16105-1100 |
| Santiago Alberto Almanzar Disla | Psychiatry | Compassion Mental Health Services of Pennsylvania Pllc | 3124 Wilmington Rd, Suite 304, New Castle, PA 16105-1100 |
| Angelo Mitsos | Podiatry | 3124 Wilmington Rd, Suite 106, New Castle, PA 16105-1100 | |
| Lynn Ryan Williams | Dermatology | Bhs Dermatology Associates LLC | 3105 Wilmington Rd, New Castle, PA 16105-1131 |
| Wayne Zimmer | Otolaryngology | Daniel J. Callaghan Jr. Md PC | 3126 Wilmington Rd, New Castle, PA 16105-1132 |
| Richard L Micco | Podiatry | 3132 Wilmington Rd, Suite 2, New Castle, PA 16105-1132 | |
| Henry C Vanzanten | Emergency Medicine | Family First Swiftcare LLC | 3128 Wilmington Rd, New Castle, PA 16105-1132 |
| Daniel J Callaghan Jr. | Otolaryngology | Daniel J. Callaghan Jr. Md PC | 3126 Wilmington Rd, New Castle, PA 16105-1132 |
| Find all physicians in zip 16105 | |||
| City | NEW CASTLE |
| Zip Code | 16105 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | NEW CASTLE + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Justin Wagner.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.