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.
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 |
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 |
Address | Phone | Organization |
---|---|---|
1 Saint Mary Pl, Shreveport, LA 71101-4343 | 3186814500 | DIAGNOSTIC IMAGING ASSOCIATES |
Organization Legal Name | DIAGNOSTIC IMAGING ASSOCIATES |
Physicians | 10 |
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 |
Street Address |
1 SAINT MARY PL |
City | SHREVEPORT |
State | LA |
Zip | 71101-4343 |
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 |
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 |
City | SHREVEPORT |
Zip Code | 71101 |
Specialty | DIAGNOSTIC RADIOLOGY |
City + Specialty | SHREVEPORT + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Diane B 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.