Sanford E Wagenberg (NPI# 1780602136, PAC ID# 6507755543) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1780602136 |
| PAC ID by PECOS | 6507755543 |
| Professional Enrollment ID | I20040315001483 |
| Full Name | Sanford E Wagenberg |
| Organization Legal Name | DIAGNOSTIC RADIOLOGY CONSULTANTS PC |
| Address |
27351 Dequindre Rd Madison Heights MI 48071-3487 |
| Phone Number | 2489677000 |
| Gender | M |
| Credential | MD |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1759364391 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230195 | ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER |
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 230269 | BEAUMONT HOSPITAL, TROY |
| Address | Phone | Organization |
|---|---|---|
| 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2489677000 | DIAGNOSTIC RADIOLOGY CONSULTANTS PC |
| 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 5865735067 | DIAGNOSTIC RADIOLOGY CONSULTANTS PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 96% | |
| 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 | 97% |
| Organization Legal Name | DIAGNOSTIC RADIOLOGY CONSULTANTS PC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Michael Edwards | Physician Assistant | Diagnostic Radiology Consultants PC | 11800 E 12 Mile Rd, Warren, MI 48093-3472 |
| Saifuddin T Vohra | Diagnostic Radiology | Diagnostic Radiology Consultants PC | 11800 E 12 Mile Rd, Warren, MI 48093-3472 |
| Kevin M Obrien | Diagnostic Radiology | Diagnostic Radiology Consultants PC | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 |
| Adam J Zuckerman | Diagnostic Radiology | Diagnostic Radiology Consultants PC | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 |
| Nadia F Yusaf | Diagnostic Radiology | Diagnostic Radiology Consultants PC | 11800 E 12 Mile Rd, Warren, MI 48093-3472 |
| Roger K Kakos | Interventional Radiology | Diagnostic Radiology Consultants PC | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 |
| Daniel H Macek | Diagnostic Radiology | Diagnostic Radiology Consultants PC | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 |
| Michael G Edwards | Diagnostic Radiology | Diagnostic Radiology Consultants PC | 11800 E 12 Mile Rd, Warren, MI 48093-3472 |
| Robert T Arnold | Diagnostic Radiology | Diagnostic Radiology Consultants PC | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 |
| Nitin Jain | Diagnostic Radiology | Diagnostic Radiology Consultants PC | 11800 E 12 Mile Rd, Warren, MI 48093-3472 |
| Street Address |
27351 DEQUINDRE RD |
| City | MADISON HEIGHTS |
| State | MI |
| Zip | 48071-3487 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Santosh K Rastogi | Psychiatry | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | |
| Luay Sayed | Cardiovascular Disease (cardiology) | Ascension Macomb Oakland Hospital | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 |
| Farah K Salem | Internal Medicine | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | |
| Alex Alammar | Anesthesiology | Anesthesia Services Associates PC | 27351 Dequindre Rd, Suite 200, Madison Heights, MI 48071-3487 |
| Michele D Mcmahon | Nurse Practitioner | Ascension Macomb Oakland Hospital | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 |
| James J Lambert Jr. | Anesthesiology | Anesthesia Services Associates PC | 27351 Dequindre Rd, Suite 200, Madison Heights, MI 48071-3487 |
| Evette N Elsenety | Pathology | Langston Walker and Associates, P.C. | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 |
| Jose J Rivera Melendez | Anesthesiology | Anesthesia Services Associates PC | 27351 Dequindre Rd, Suite 200, Madison Heights, MI 48071-3487 |
| Dinesh P Koirala | Anesthesiology | Anesthesia Services Associates PC | 27351 Dequindre Rd, Suite 200, Madison Heights, MI 48071-3487 |
| Rudram Naidu Muppuri | Anesthesiology | Anesthesia Services Associates PC | 27351 Dequindre Rd, Suite 200, Madison Heights, MI 48071-3487 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael R Altenburg | Physical Therapy | Krs of Clawson LLC | 901 W Maple Rd, Clawson, MI 48071-1005 |
| Maria Schaefer | Physical Therapy | Krs of Clawson LLC | 901 W Maple Rd, Clawson, MI 48071-1005 |
| Brittni N Cruse | Physical Therapy | Krs of Clawson LLC | 901 W Maple Rd, Clawson, MI 48071-1005 |
| Brian A Jones | Physical Therapy | Krs of Clawson LLC | 901 W Maple Rd, Clawson, MI 48071-1005 |
| Steven J Rabaut | Physical Therapy | Krs of Clawson LLC | 901 W Maple Rd, Clawson, MI 48071-1005 |
| William Bradley Bean | Physical Therapy | Krs of Clawson LLC | 901 W Maple Rd, Clawson, MI 48071-1005 |
| Pamela Obare | Nurse Practitioner | City Medical PC | 30581 Stephenson Hwy, Madison Heights, MI 48071-1610 |
| Thomas John Petrou | Anesthesiology | Detroit Anesthesia Group Pllc | 30781 Stephenson Hwy, Madison Heights, MI 48071-1618 |
| Alexander K Grossi | Anesthesiology | Detroit Anesthesia Group Pllc | 30781 Stephenson Hwy, Madison Heights, MI 48071-1618 |
| Christopher E Wicks | Anesthesiology | Detroit Anesthesia Group Pllc | 30781 Stephenson Hwy, Madison Heights, MI 48071-1618 |
| Find all physicians in zip 48071 | |||
| City | MADISON HEIGHTS |
| Zip Code | 48071 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | MADISON HEIGHTS + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Sanford E Wagenberg.
| 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.