Anthony Wagner (NPI# 1659436830, PAC ID# 9335153667) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1659436830 |
| PAC ID by PECOS | 9335153667 |
| Professional Enrollment ID | I20090713000693 |
| Full Name | Anthony Wagner |
| Organization Legal Name | PARKWEST MEDICAL CENTER |
| Address |
210 Simmons St Maryville TN 37801-4750 |
| Phone Number | 8659709800 |
| Gender | M |
| Credential | NP |
| Graduation Year | 2000 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8527965417 |
| Number of Group Practice Members | 53 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440173 | PARKWEST MEDICAL CENTER |
| 440011 | BLOUNT MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 9352 Park W Boulevard, Knoxville, TN 37923-4325 | 8656945700 | PARKWEST MEDICAL CENTER |
| 210 Simmons St, Maryville, TN 37801-4750 | 8659709800 | PARKWEST MEDICAL CENTER |
| Organization Legal Name | PARKWEST MEDICAL CENTER |
| Physicians | 31 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christel Amber Heacker | Nurse Practitioner | Parkwest Medical Center | 210 Simmons St, Maryville, TN 37801-4750 |
| Lori A Stallings | Nurse Practitioner | Parkwest Medical Center | 1104 Foxwood Dr, Sevierville, TN 37862-9366 |
| Jonathan P Mccollum | Clinical Social Worker | Parkwest Medical Center | 2347 Jones Bend Rd, Louisville, TN 37777-5213 |
| Brent A Grishkin | Thoracic Surgery | Parkwest Medical Center | 9352 Park W Boulevard, Knoxville, TN 37923-4325 |
| Alice M Kachelries | Clinical Social Worker | Parkwest Medical Center | 1451 Dowell Springs Blvd, Knoxville, TN 37909-2450 |
| Jeremy M Mills | Nurse Practitioner | Parkwest Medical Center | 1451 Dowell Springs Blvd, Knoxville, TN 37909-2450 |
| Robert G Harned | Psychiatry | Parkwest Medical Center | 9352 Park W Boulevard, Knoxville, TN 37923-4325 |
| Kathryn A Duncan | Clinical Social Worker | Parkwest Medical Center | 1451 Dowell Springs Blvd, Knoxville, TN 37909-2450 |
| Berta M Bergia | Neurology | Parkwest Medical Center | 9352 Park W Boulevard, Knoxville, TN 37923-4325 |
| John G Kupfner | Psychiatry | Parkwest Medical Center | 423 Medical Park Dr, Lenoir City, TN 37772-5640 |
| Street Address |
210 SIMMONS ST |
| City | MARYVILLE |
| State | TN |
| Zip | 37801-4750 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christel Amber Heacker | Nurse Practitioner | Parkwest Medical Center | 210 Simmons St, Maryville, TN 37801-4750 |
| Nalini Samavedy | Psychiatry | Parkwest Medical Center | 210 Simmons St, Maryville, TN 37801-4750 |
| Rebecca Anne Nichols O'berry | Clinical Social Worker | Parkwest Medical Center | 210 Simmons St, Maryville, TN 37801-4750 |
| Caitlin Riley | Clinical Social Worker | Parkwest Medical Center | 210 Simmons St, Maryville, TN 37801-4750 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric A Anderson | Chiropractic | 2732 Hwy 411 S, Marysville, TN 37801 | |
| Karin R Moore | Optometry | 2410 Us Hwy 411 S, Maryville, TN 37801 | |
| William Tantum | Optometry | Blount County Eye Center, Pllc | 702 S Foothills Plaza Dr, Maryville, TN 37801-2300 |
| Lloyd Tantum | Optometry | Blount County Eye Center, Pllc | 702 S Foothills Plaza Dr, Maryville, TN 37801-2300 |
| Cassandra Marie Bruno | Optometry | Blount County Eye Center, Pllc | 702 S Foothills Plaza Dr, Maryville, TN 37801-2300 |
| Susan Carter | Optometry | Blount County Eye Center, Pllc | 702 S Foothills Plaza Dr, Maryville, TN 37801-2300 |
| Chantel Lashaun Galipeau | Optometry | Blount County Eye Center, Pllc | 702 S Foothills Plaza Dr, Maryville, TN 37801-2300 |
| Heath D Svoboda | Nurse Practitioner | The Little Clinic of Tennessee LLC | 507 N Foothills Plaza, Maryville, TN 37801-2312 |
| Julie S Newman | Nurse Practitioner | The Little Clinic of Tennessee LLC | 507 N Foothills Plaza, Maryville, TN 37801-2312 |
| Christina N Brown | Nurse Practitioner | 2732 Us Hwy 411 S, Maryville, TN 37801-3104 | |
| Find all physicians in zip 37801 | |||
| City | MARYVILLE |
| Zip Code | 37801 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MARYVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Anthony 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.