Maegan L Wagner (NPI# 1871935049, PAC ID# 9133362353) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1871935049 |
| PAC ID by PECOS | 9133362353 |
| Professional Enrollment ID | I20130906000546 |
| Full Name | Maegan L Wagner |
| Organization Legal Name | MARK S KING, MD, PA |
| Address |
2062 Hwy 62 W Mountain Home AR 72653-7656 |
| Phone Number | 8704255464 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5294888780 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040027 | BAXTER REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2062 Hwy 62 W, Mountain Home, AR 72653-7656 | 8704255464 | MARK S KING, MD, PA |
| 624 Hospital Dr, Mountain Home, AR 72653-2955 | 8705081000 | FIRST IN SERVICE HOSPITALISTS PA |
| Organization Legal Name | MARK S KING, MD, PA |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lonnie Mark Hammonds Jr. | Dermatology | Mark S King, Md, Pa | 2062 Hwy 62 W, Mountain Home, AR 72653-7656 |
| Kelly M Krause | Physician Assistant | Mark S King, Md, Pa | 2062 Hwy 62 W, Mountain Home, AR 72653-7656 |
| Patricia Lynn Hurst | Nurse Practitioner | Mark S King, Md, Pa | 2062 Hwy 62 W, Mountain Home, AR 72653-7656 |
| Mark S King | Dermatology | Mark S King, Md, Pa | 2062 Hwy 62 W, Mountain Home, AR 72653-7656 |
| Street Address |
2062 HWY 62 W |
| City | MOUNTAIN HOME |
| State | AR |
| Zip | 72653-7656 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lonnie Mark Hammonds Jr. | Dermatology | Mark S King, Md, Pa | 2062 Hwy 62 W, Mountain Home, AR 72653-7656 |
| Kelly M Krause | Physician Assistant | Mark S King, Md, Pa | 2062 Hwy 62 W, Mountain Home, AR 72653-7656 |
| Patricia Lynn Hurst | Nurse Practitioner | Mark S King, Md, Pa | 2062 Hwy 62 W, Mountain Home, AR 72653-7656 |
| Mark S King | Dermatology | Mark S King, Md, Pa | 2062 Hwy 62 W, Mountain Home, AR 72653-7656 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel P. Valach | Nephrology | 1409 Hwy 201 N, Suite 1, Mountain Home, AR 72653-2425 | |
| Paul R Byrum | Physical Therapy | Physical Therapy Specialists of The Ozarks, LLC | 804 Coley Dr, Mountain Home, AR 72653-2523 |
| Melissa A Hinson | Physical Therapy | Physical Therapy Specialists of The Ozarks, LLC | 804 Coley Dr, Mountain Home, AR 72653-2523 |
| Paul A Henry | Physical Therapy | Physical Therapy Specialists of The Ozarks, LLC | 804 Coley Dr, Mountain Home, AR 72653-2523 |
| Natalie D Ahrent | Physical Therapy | Physical Therapy Specialists of The Ozarks, LLC | 804 Coley Dr, Mountain Home, AR 72653-2523 |
| Rhonda S Pinson | Occupational Therapy | Ozark Shoulder To Hand Center, LLC | 804 Coley Dr, Mountain Home, AR 72653-2523 |
| Crystal D Henry | Occupational Therapy | Ozark Shoulder To Hand Center, LLC | 804 Coley Dr, Mountain Home, AR 72653-2523 |
| Charles J Edington | Occupational Therapy | Ozark Shoulder To Hand Center, LLC | 804 Coley Dr, Mountain Home, AR 72653-2523 |
| Brooklyn Taylor | Physical Therapy | Gross Therapy Services Inc | 117 Riverlodge Dr, Mountain Home, AR 72653-2630 |
| Stacy Millikin | Occupational Therapy | Gross Therapy Services Inc | 117 Riverlodge Dr, Mountain Home, AR 72653-2630 |
| Find all physicians in zip 72653 | |||
| City | MOUNTAIN HOME |
| Zip Code | 72653 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MOUNTAIN HOME + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Maegan L 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.