Diane B Wagner
DIAGNOSTIC IMAGING ASSOCIATES


Address: 1 Saint Mary Pl, Shreveport, LA 71101-4343
Phone: 3186814500

Diane B Wagner (NPI# 1336180900, PAC ID# 7810895844) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.

Physician Overview

Nation Provider ID (NPI) 1336180900
PAC ID by PECOS 7810895844
Professional Enrollment ID I20031229000483
Full Name Diane B Wagner
Organization Legal Name DIAGNOSTIC IMAGING ASSOCIATES
Address 1 Saint Mary Pl
Shreveport
LA 71101-4343
Phone Number 3186814500
Gender F
Credential MD
Medical School LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year 1986
Primary Specialty DIAGNOSTIC RADIOLOGY
Group Practice PAC ID 9133183213
Number of Group Practice Members 10
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
190041 CHRISTUS HEALTH SHREVEPORT - BOSSIER
190114 CLAIBORNE MEMORIAL MEDICAL CENTER
190118 DESOTO REGIONAL HEALTH SYSTEM
191312 CHRISTUS COUSHATTA HEALTH CARE CENTER

Other Locations

Address Phone Organization
1 Saint Mary Pl, Shreveport, LA 71101-4343 3186814500 DIAGNOSTIC IMAGING ASSOCIATES

Organization Information

Organization Legal Name DIAGNOSTIC IMAGING ASSOCIATES
Physicians 10

Physicians with the same organization

Name Specialty Organization Address
Patrick Leopard Diagnostic Radiology Diagnostic Imaging Associates 207 Jefferson St, Mansfield, LA 71052-2603
Joseph William Milner Diagnostic Radiology Diagnostic Imaging Associates 620 E College St, Homer, LA 71040-3202
Robert Webster Stewart Diagnostic Radiology Diagnostic Imaging Associates 620 E College St, Homer, LA 71040-3202
John Braud Diagnostic Radiology Diagnostic Imaging Associates 620 E College St, Homer, LA 71040-3202
Manash K Sarcar Diagnostic Radiology Diagnostic Imaging Associates 620 E College St, Homer, LA 71040-3202
John Rellus Hebert Ii Diagnostic Radiology Diagnostic Imaging Associates 620 E College St, Homer, LA 71040-3202
Kelly White Diagnostic Radiology Diagnostic Imaging Associates 1453 E Bert Kouns Industrial Loop, Shreveport, LA 71105-6800
Jason Campbell Diagnostic Radiology Diagnostic Imaging Associates 620 E College St, Homer, LA 71040-3202
William Henry Gallmann Iii Diagnostic Radiology Diagnostic Imaging Associates 620 E College St, Homer, LA 71040-3202

Office Location

Street Address 1 SAINT MARY PL
City SHREVEPORT
State LA
Zip 71101-4343

Physicians in the same location

Name Specialty Organization Address
Neelima Chintapalli Hematology/oncology C H Wilkinson Physician Network 1 Saint Mary Pl, Shreveport, LA 71101-4343
Audrey Rose Guillermo Lewkowitz Physician Assistant C H Wilkinson Physician Network 1 Saint Mary Pl, Shreveport, LA 71101-4343
Susan L Steen Physician Assistant Lsu Health Sciences Center-shreveport Faculty Group Practice 1 Saint Mary Pl, Shreveport, LA 71101-4343
Jode Jann Burgin Family Medicine C H Wilkinson Physician Network 1 Saint Mary Pl, Shreveport, LA 71101-4343
Lauren Janway Stanton Physician Assistant C H Wilkinson Physician Network 1 Saint Mary Pl, Shreveport, LA 71101-4343
Theresa Lynn Rinderle Family Medicine C H Wilkinson Physician Network 1 Saint Mary Pl, Shreveport, LA 71101-4343
Margo L Thomas Family Medicine C H Wilkinson Physician Network 1 Saint Mary Pl, Shreveport, LA 71101-4343
Julie Harrison Physician Assistant Lsu Health Sciences Center-shreveport Faculty Group Practice 1 Saint Mary Pl, Shreveport, LA 71101-4343
Erica Butler Roop Physician Assistant C H Wilkinson Physician Network 1 Saint Mary Pl, Shreveport, LA 71101-4343
Mary Mancini Cardiac Surgery C H Wilkinson Physician Network 1 Saint Mary Pl, Shreveport, LA 71101-4343
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Shawn E. Mcneil Psychiatry Wk Center for Psychiatric Support 1111 Line Ave, Shreveport, LA 71101-3841
Jason M Broussard Psychiatry Wk Center for Psychiatric Support 1111 Line Ave, Shreveport, LA 71101-3841
Kirsti N Peavy Physician Assistant Wk Center for Psychiatric Support 1111 Line Ave, Shreveport, LA 71101-3841
Arien M Ward Psychologist, Clinical Wk Center for Psychiatric Support 1111 Line Ave, Shreveport, LA 71101-3841
Devanshi Jani Psychiatry Wk Center for Psychiatric Support 1111 Line Ave, Shreveport, LA 71101-3841
Albert M Aura Internal Medicine 1111 Line Ave, Shreveport, LA 71101-3841
Jeffrey T Overdyke Psychiatry Wk Center for Psychiatric Support 1111 Line Ave, Shreveport, LA 71101-3841
Caleb Blair Harkins Nurse Practitioner Wk North Pulmonary and Critical Care 1202 Louisiana Ave, Shreveport, LA 71101-3910
Mark H Smith General Surgery Wk South Surgical Hospitalists 1202 Louisiana Ave, Shreveport, LA 71101-3910
Matthew C Raley Internal Medicine Wk North Pulmonary and Critical Care 1202 Louisiana Ave, Shreveport, LA 71101-3910
Find all physicians in zip 71101

Competitor

Search similar physicians

City SHREVEPORT
Zip Code 71101
Specialty DIAGNOSTIC RADIOLOGY
City + Specialty SHREVEPORT + DIAGNOSTIC RADIOLOGY

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Dataset Information

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.

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