Michael J Wagner (NPI# 1093918021, PAC ID# 8123297744) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1093918021 |
| PAC ID by PECOS | 8123297744 |
| Professional Enrollment ID | I20110816000291 |
| Full Name | Michael J Wagner |
| Organization Legal Name | PENINSULA PATHOLOGY ASSOCIATES, P.A. |
| Address |
100 E Carroll St Salisbury MD 21801-5422 |
| Phone Number | 4105437389 |
| Gender | M |
| Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduation Year | 2006 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 4880600204 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210019 | PENINSULA REGIONAL MEDICAL CENTER |
| 210061 | ATLANTIC GENERAL HOSPITAL |
| 080006 | NANTICOKE MEMORIAL HOSPITAL |
| 210045 | MCCREADY HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 100 E Carroll St, Salisbury, MD 21801-5422 | 4105437389 | PENINSULA PATHOLOGY ASSOCIATES, P.A. |
| 801 Middleford Rd, Seaford, DE 19973-3636 | 3026296611 | PENINSULA PATHOLOGY ASSOCIATES, P.A. |
| Organization Legal Name | PENINSULA PATHOLOGY ASSOCIATES, P.A. |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick E Oreilly Jr. | Pathology | Peninsula Pathology Associates, P.a. | 801 Middleford Rd, Seaford, DE 19973-3636 |
| Amanda L Gohlke | Pathology | Peninsula Pathology Associates, P.a. | 100 E Carroll St, Salisbury, MD 21801-5422 |
| Kimberly H Cuesta | Pathology | Peninsula Pathology Associates, P.a. | 801 Middleford Rd, Seaford, DE 19973-3636 |
| Zohreh Zaki | Pathology | Peninsula Pathology Associates, P.a. | 801 Middleford Rd, Seaford, DE 19973-3636 |
| Eric J Weaver | Pathology | Peninsula Pathology Associates, P.a. | 801 Middleford Rd, Seaford, DE 19973-3636 |
| Timothy L Benning | Pathology | Peninsula Pathology Associates, P.a. | 801 Middleford Rd, Seaford, DE 19973-3636 |
| Street Address |
100 E CARROLL ST |
| City | SALISBURY |
| State | MD |
| Zip | 21801-5422 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alex L Mah | Anesthesiology | Sheridan Anesthesia Services of Maryland, PC | 100 E Carroll St, Salisbury, MD 21801-5422 |
| Tolani I Aiyeku | Certified Registered Nurse Anesthetist (crna) | Sheridan Anesthesia Services of Maryland, PC | 100 E Carroll St, Salisbury, MD 21801-5422 |
| Pooja Srikanth | Internal Medicine | Peninsula Regional Medical Center | 100 E Carroll St, Salisbury, MD 21801-5422 |
| Kim Mulkay | Nurse Practitioner | Peninsula Regional Medical Center | 100 E Carroll St, Salisbury, MD 21801-5422 |
| Chaitanya Korrapati | Hospitalist | Peninsula Regional Medical Center | 100 E Carroll St, Salisbury, MD 21801-5422 |
| Bothwell Lee | Neurosurgery | Peninsula Regional Medical Center | 100 E Carroll St, Salisbury, MD 21801-5422 |
| Usaid Hasan | Internal Medicine | Peninsula Regional Medical Center | 100 E Carroll St, Salisbury, MD 21801-5422 |
| Kimberly Rogers | Nurse Practitioner | Peninsula Regional Medical Center | 100 E Carroll St, Salisbury, MD 21801-5422 |
| Christopher S Snyder | Family Medicine | Peninsula Regional Medical Center | 100 E Carroll St, Salisbury, MD 21801-5422 |
| Bonnie H Jones | Certified Registered Nurse Anesthetist (crna) | Sheridan Anesthesia Services of Maryland, PC | 100 E Carroll St, Salisbury, MD 21801-5422 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George C Weaver Iii | Psychologist, Clinical | 116 -118 W Main St, Salisbury, MD 21801-1663 | |
| Kirsten A Culler | Clinical Social Worker | 28260 Canterbury Dr, Salisbury, MD 21801-2029 | |
| Mirlourdes Beliard | Nurse Practitioner | Chesapeake Medical Solutions, Pa | 2425 N Salisbury Blvd, Salisbury, MD 21801-2138 |
| Angela L Gibbs | Family Practice | Chesapeake Medical Solutions, Pa | 2425 N Salisbury Blvd, Salisbury, MD 21801-2138 |
| Eleanor Siri | Optometry | Myeyedr Optometry of Maryland LLC | 2657 N Salisbury Blvd, Suite 104, Salisbury, MD 21801-2184 |
| Travis Light | Physical Therapy | Ati Holdings LLC | 2420 N Salisbury Blvd, Unit 5, Salisbury, MD 21801-2189 |
| Kayla Klumpp | Physical Therapy | Ati Holdings LLC | 2420 N Salisbury Blvd, Unit 5, Salisbury, MD 21801-2189 |
| Stephanie Lynn Simpson | Physical Therapy | Ati Holdings LLC | 2420 N Salisbury Blvd, Unit 5, Salisbury, MD 21801-2189 |
| Kareen B Newvillamor | Physical Therapy | Ati Holdings LLC | 2420 N Salisbury Blvd, Unit 5, Salisbury, MD 21801-2189 |
| Laura Mink | Physical Therapy | Ati Holdings LLC | 2420 N Salisbury Blvd, Salisbury, MD 21801-2189 |
| Find all physicians in zip 21801 | |||
| City | SALISBURY |
| Zip Code | 21801 |
| Specialty | PATHOLOGY |
| City + Specialty | SALISBURY + PATHOLOGY |
Please comment or provide details below to improve the information on Michael J 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.