John B Van Wagner (NPI# 1962586305, PAC ID# 8224074851) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1962586305 |
| PAC ID by PECOS | 8224074851 |
| Professional Enrollment ID | I20050705000603 |
| Full Name | John B Van Wagner |
| Address |
531 Main St Great Barrington MA 01230-2001 |
| Gender | M |
| Credential | DC |
| Medical School | PALMER COLLEGE CHIROPRACTIC - DAVENPORT |
| Graduation Year | 1998 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 221302 | FAIRVIEW HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 531 Main St, Great Barrington, MA 01230-2001 |
| Street Address |
531 MAIN ST |
| City | GREAT BARRINGTON |
| State | MA |
| Zip | 01230-2001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie A Mccormack | Clinical Social Worker | Jamie Mccormack Psychotherapy, 401 Stockbridge Road Suite 6, Great Barrington, MA 01230 | |
| Carol R Noble | Psychologist, Clinical | 176 Castle Hill Ave, Great Barrington, MA 01230-1026 | |
| Donna W Jacobs | Clinical Social Worker | 260 Park St, Great Barrington, MA 01230-1139 | |
| Laurie J Basinait | Nurse Practitioner | Berkshire Faculty Services Inc | 63 State Rd, Great Barrington, MA 01230-1223 |
| Susan N Thompson Barrett | Family Practice | Berkshire Faculty Services Inc | 63 State Rd, Great Barrington, MA 01230-1223 |
| Carey B. Beckwith | Clinical Social Worker | 401 Stockbridge Rd, Suite 4, Great Barrington, MA 01230-1233 | |
| Lisa Chism Fraine | Certified Nurse Midwife (cnm) | Community Health Programs Inc | 444 Stockbridge Rd, Great Barrington, MA 01230-1295 |
| Claire A Horth | Family Medicine | Community Health Programs Inc | 444 Stockbridge Rd, Great Barrington, MA 01230-1295 |
| Lisa B Nelson | Family Medicine | Community Health Programs Inc | 444 Stockbridge Rd, Great Barrington, MA 01230-1295 |
| Kathleen Denise Washburn | Nurse Practitioner | Community Health Programs Inc | 444 Stockbridge Rd, Great Barrington, MA 01230-1295 |
| Find all physicians in zip 01230 | |||
| City | GREAT BARRINGTON |
| Zip Code | 01230 |
| Specialty | CHIROPRACTIC |
| City + Specialty | GREAT BARRINGTON + CHIROPRACTIC |
Please comment or provide details below to improve the information on John B Van 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.