Christina Ruth Wagner
M.D. | Pediatrics | Female
Christina Ruth Wagner, M.D. is a Carmi, Illinois based Pediatric doctor with medical specialization in
General Pediatrics. Christina Ruth Wagner is also known as
Christina Ruth Anderson.
Current practice location of Christina Ruth Wagner is
103 Commerce St, Carmi, Illinois - 62821-2223. She can be contacted on phone at
618-842-4470 and fax number 618-842-3437.
Christina Ruth Wagner is a sole proprietor of her business.
NPI number (Unique professional ID) for Christina Ruth Wagner is
1518957273 which was assigned by NPPES on 25 Oct, 2005 and it was last updated on 28 May, 2015.
Christina Ruth Wagner license number is
036107740 for Pediatrics (208000000X) in Illinois.
Christina Ruth Wagner is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Christina Ruth Wagner basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Christina Ruth Wagner |
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| Other Name : | Christina Ruth Anderson |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Christina Ruth Wagner address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 103 Commerce St
Carmi, IL, 62821-2223
United States |
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| Phone Number : | 618-842-4470 |
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| Fax Number : | 618-842-3437 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1518957273 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 25 Oct, 2005 |
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| Last Updated On : | 28 May, 2015 |
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Medicare Participation:
Christina Ruth Wagner participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 8123926110 |
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| Medicare Enrollment ID : | I20191231001382 |
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| Primary Specialty : | Emergency Medicine |
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| Medical School : | Other |
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| Graduation Year : | 1995 |
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| Accepts Medicare? | Yes. Christina Ruth Wagner accepts medicare insurance. |
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Group Practice Association:
Christina Ruth Wagner is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Christina Ruth Wagner is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| App Of Kentucky Ed, Pllc | 0749502862 | 34 | 100 Medical Ctr Dr
Princeton, KY - 424452430
Ph: 2703650300 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Christina Ruth Wagner are as mentioned. Primary taxonomy code for Christina Ruth Wagner, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 207PE0004X | Emergency Medicine Emergency Medical Services | No | 036107740 | IL |
| 207P00000X | Emergency Medicine | No | 01073102A | IN |
| 208000000X | Pediatrics | Yes | 036107740 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Christina Ruth Wagner such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 036107740 | MEDICAID | IL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 209 Nw 11th St
Fairfield, IL, 62837-1218
United States |
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| Phone Number : | 618-842-4470 |
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| Fax Number : | 618-842-4470 |
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Business Location:
Patients can refer following map for directions to
Christina Ruth Wagner practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.