Dr. Katherine Mary Wagner
MD | Pediatrics | Female
Dr. Katherine Mary Wagner, MD is a Garfield Hts, Ohio based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Katherine Mary Wagner is
13201 Granger Rd Ste 2, Garfield Hts, Ohio - 44125-1979. She can be contacted on phone at
216-475-8844 and fax number 216-475-3816.
Dr. Katherine Mary Wagner is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Katherine Mary Wagner is
1396908265 which was assigned by NPPES on 09 Jul, 2008 and it was last updated on 19 Dec, 2011.
Dr. Katherine Mary Wagner license number is
35-096862 for Pediatrics (208000000X) in Ohio.
Dr. Katherine Mary 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:
Dr. Katherine Mary Wagner basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Dr. Katherine Mary Wagner |
|---|
| Credential : | MD |
|---|
| Gender : | Female |
|---|
Business Address:
Dr. Katherine Mary 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 : | 13201 Granger Rd Ste 2
Garfield Hts, OH, 44125-1979
United States |
|---|
| Phone Number : | 216-475-8844 |
|---|
| Fax Number : | 216-475-3816 |
|---|
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 : | 1396908265 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 09 Jul, 2008 |
|---|
| Last Updated On : | 19 Dec, 2011 |
|---|
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 Dr. Katherine Mary Wagner are as mentioned. Primary taxonomy code for Dr. Katherine Mary Wagner, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | |
| 208000000X | Pediatrics | Yes | 35-096862 | OH |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Katherine Mary Wagner such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 3149168 | MEDICAID | OH | |
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 : | 24701 Euclid Ave, 3rd Floor
Euclid, OH, 44117-1714
United States |
|---|
| Phone Number : | 216-475-8844 |
|---|
| Fax Number : | 216-475-3816 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Katherine Mary 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.