Kathryn R Wagner (NPI# 1043508617, PAC ID# 5092006486) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1043508617 |
| PAC ID by PECOS | 5092006486 |
| Professional Enrollment ID | I20170711000565 |
| Full Name | Kathryn R Wagner |
| Organization Legal Name | RED RIVER CONSULTANTS INC |
| Address |
10 Belvidere Ave Worcester MA 01605-1316 |
| Phone Number | 3182124550 |
| Gender | F |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1355303363 |
| Number of Group Practice Members | 68 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070024 | WILLIAM W BACKUS HOSPITAL |
| 070035 | THE HOSPITAL OF CENTRAL CONNECTICUT |
| 070017 | MIDSTATE MEDICAL CENTER |
| 070007 | LAWRENCE & MEMORIAL HOSPITAL |
| 070025 | HARTFORD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 680 S Main St, Cheshire, CT 06410-3181 | 2036948405 | MERIDEN IMAGING CENTER INC |
| 435 Lewis Ave, Meriden, CT 06451-2101 | 2039492700 | MIDSTATE RADIOLOGY ASSOCIATES, LLC |
| 326 Washington St, Norwich, CT 06360-2740 | 2039492700 | MIDSTATE RADIOLOGY ASSOCIATES, LLC |
| 863 N Main St Ext, Midstate Imaging Center, Wallingford, CT 06492-2420 | MERIDEN IMAGING CENTER INC | |
| 10 Belvidere Ave, Worcester, MA 01605-1316 | 3182124550 | RED RIVER CONSULTANTS INC |
| Organization Legal Name | RED RIVER CONSULTANTS INC |
| Physicians | 51 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael A Nissenbaum | Diagnostic Radiology | Red River Consultants Inc | 124 Dish Ln, Stowe, VT 05672-5430 |
| Dawood I Malik | Diagnostic Radiology | Red River Consultants Inc | 4188 Ivy Crest Ct, Hilliard, OH 43026-6249 |
| Adam A Sciuk | Diagnostic Radiology | Red River Consultants Inc | 4222 Moss Cove Ct, Sugar Land, TX 77479-3590 |
| David S St. John | Diagnostic Radiology | Red River Consultants Inc | 8140 Grafton End, Dublin, OH 43016-9495 |
| Reem S Awwad | Diagnostic Radiology | Red River Consultants Inc | 732 Legends Crest Dr, Franklin, TN 37069-4659 |
| Joshua Thomas Blunck | Diagnostic Radiology | Red River Consultants Inc | 9290 Nw 36th St, Polk City, IA 50226-2079 |
| Cristina Margarita Cavazos | Diagnostic Radiology | Red River Consultants Inc | 2823 Ne 55th Ave, Portland, OR 97213-3439 |
| Jaime K Salvatore | Diagnostic Radiology | Red River Consultants Inc | 1624 Loudon Heights Rd, Charleston, WV 25314-1504 |
| Kimberley Sloan Miller | Diagnostic Radiology | Red River Consultants Inc | 23144 Buchanan St, Mount Vernon, WA 98273-8031 |
| Michael J Cooney | Diagnostic Radiology | Red River Consultants Inc | 116 N Dianthus St, Manhattan Beach, CA 90266-6713 |
| Street Address |
10 BELVIDERE AVE |
| City | WORCESTER |
| State | MA |
| Zip | 01605-1316 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael A Cirillo | Psychologist, Clinical | Cornerstone Behavioral Health Inc. | 397 Grove St, Worcester, MA 01605-1223 |
| Peter W Moran | Psychologist, Clinical | Cornerstone Behavioral Health Inc. | 397 Grove St, Worcester, MA 01605-1223 |
| Theresa G Boothby | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 44 W Boylston St, Worcester, MA 01605-1261 |
| Kathryn A Mcgrath | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 44 W Boylston St, Worcester, MA 01605-1261 |
| Lea C Murphy | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 44 W Boylston St, Worcester, MA 01605-1261 |
| Leena S Shah | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 44 W Boylston St, Worcester, MA 01605-1261 |
| Daylin A. Chaplin | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 44 W Boylston St, Worcester, MA 01605-1261 |
| Lauren E Gray | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 44 W Boylston St, Worcester, MA 01605-1261 |
| Lisa A Mcniff | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 44 W Boylston St, Worcester, MA 01605-1261 |
| Eric M Severi | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 44 W Boylston St, Worcester, MA 01605-1261 |
| Find all physicians in zip 01605 | |||
| City | WORCESTER |
| Zip Code | 01605 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | WORCESTER + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Kathryn R 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.